Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.29 / $4,771.00 / $9,539.00	Facility		$615.29	$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 $494.14 / $592.97 / $731.33	Professional		$494.14	$592.97	$731.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $599.72 / $727.18 / $1,084.22	Facility		$599.72	$727.18	$1,084.22
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $167.11 / $189.12 / $229.62	Facility	80	$167.11	$189.12	$229.62
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $116.98 / $132.38 / $160.74	Facility	AS	$116.98	$132.38	$160.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $491.59 / $712.10 / $3,658.00	Facility		$491.59	$712.10	$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