Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $3,991.00 / $9,918.00	Facility		$243.26	$3,991.00	$9,918.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $121.63 / $121.63 / $294.68	Facility	52	$121.63	$121.63	$294.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.76 / $234.91 / $289.72	Professional		$195.76	$234.91	$289.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $235.03 / $289.52 / $397.39	Facility		$235.03	$289.52	$397.39
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $57.90 / $64.06 / $85.64	Facility	80	$57.90	$64.06	$85.64
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $40.53 / $44.85 / $59.95	Facility	AS	$40.53	$44.85	$59.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $221.18 / $287.13 / $1,621.00	Facility		$221.18	$287.13	$1,621.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00