Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.19 / $4,771.00 / $9,539.00	Facility		$465.19	$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 $374.40 / $449.28 / $554.11	Professional		$374.40	$449.28	$554.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $428.89 / $549.77 / $819.73	Facility		$428.89	$549.77	$819.73
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $126.04 / $156.43 / $313.39	Facility	80	$126.04	$156.43	$313.39
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $88.23 / $109.50 / $219.38	Facility	AS	$88.23	$109.50	$219.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $335.39 / $521.16 / $3,658.00	Facility		$335.39	$521.16	$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