Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.67 / $4,771.00 / $9,539.00	Facility		$655.67	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $541.27 / $649.52 / $801.08	Professional		$541.27	$649.52	$801.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $637.09 / $776.20 / $1,108.08	Facility		$637.09	$776.20	$1,108.08
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $178.91 / $203.26 / $230.81	Facility	80	$178.91	$203.26	$230.81
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $125.24 / $142.28 / $161.57	Facility	AS	$125.24	$142.28	$161.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $566.40 / $760.95 / $3,658.00	Facility		$566.40	$760.95	$3,658.00
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