Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.00 / $4,771.00 / $9,539.00	Facility		$211.00	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.23 / $204.28 / $251.94	Professional		$170.23	$204.28	$251.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $206.14 / $249.35 / $372.13	Facility		$206.14	$249.35	$372.13
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $57.52 / $64.98 / $82.82	Facility	80	$57.52	$64.98	$82.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $40.27 / $45.48 / $57.97	Facility	AS	$40.27	$45.48	$57.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $172.27 / $245.06 / $3,658.00	Facility		$172.27	$245.06	$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