Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.11 / $4,771.00 / $9,539.00	Facility		$738.11	$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 $593.12 / $711.74 / $877.82	Professional		$593.12	$711.74	$877.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $721.24 / $872.31 / $1,300.50	Facility		$721.24	$872.31	$1,300.50
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $201.21 / $226.72 / $268.77	Facility	80	$201.21	$226.72	$268.77
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $140.84 / $158.69 / $188.15	Facility	AS	$140.84	$158.69	$188.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $618.41 / $857.59 / $3,658.00	Facility		$618.41	$857.59	$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