Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.60 / $4,390.00 / $9,539.00	Facility		$594.60	$4,390.00	$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 $477.09 / $572.51 / $706.09	Professional		$477.09	$572.51	$706.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $544.16 / $679.84 / $1,012.50	Facility		$544.16	$679.84	$1,012.50
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $108.28 / $160.60 / $209.50	Facility	80	$108.28	$160.60	$209.50
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $75.80 / $112.42 / $146.65	Facility	AS	$75.80	$112.42	$146.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $405.31 / $678.43 / $3,658.00	Facility		$405.31	$678.43	$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