Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.14 / $4,032.00 / $14,187.00	Facility		$391.14	$4,032.00	$14,187.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,099.00 / $16,960.88 / $23,318.49	Facility		$11,099.00	$16,960.88	$23,318.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.42 / $349.70 / $431.30	Professional		$291.42	$349.70	$431.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $332.84 / $434.53 / $618.15	Facility		$332.84	$434.53	$618.15
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $99.39 / $112.07 / $129.02	Facility	80	$99.39	$112.07	$129.02
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $69.56 / $78.45 / $90.32	Facility	AS	$69.56	$78.45	$90.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $330.52 / $434.93 / $3,658.00	Facility		$330.52	$434.93	$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