Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $952.09 / $4,771.00 / $9,539.00	Facility		$952.09	$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 $785.80 / $942.96 / $1,162.98	Professional		$785.80	$942.96	$1,162.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $926.45 / $1,126.45 / $1,609.03	Facility		$926.45	$1,126.45	$1,609.03
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $259.58 / $295.07 / $335.19	Facility	80	$259.58	$295.07	$335.19
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $181.71 / $206.55 / $234.63	Facility	AS	$181.71	$206.55	$234.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $821.75 / $1,104.58 / $3,964.52	Facility		$821.75	$1,104.58	$3,964.52
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