Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.80 / $4,796.00 / $13,060.08	Facility		$143.80	$4,796.00	$13,060.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30,790.00 / $65,912.03 / $91,802.10	Facility		$30,790.00	$65,912.03	$91,802.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.28 / $141.94 / $175.05	Professional		$118.28	$141.94	$175.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.25 / $168.72 / $258.52	Facility		$130.25	$168.72	$258.52
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $39.77 / $45.55 / $51.70	Facility	80	$39.77	$45.55	$51.70
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $27.84 / $31.89 / $36.19	Facility	AS	$27.84	$31.89	$36.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $130.72 / $171.26 / $3,658.00	Facility		$130.72	$171.26	$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