Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.65 / $5,412.00 / $11,024.00	Facility		$906.65	$5,412.00	$11,024.00
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 $724.95 / $869.94 / $1,072.93	Professional		$724.95	$869.94	$1,072.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $831.62 / $1,076.08 / $1,532.24	Facility		$831.62	$1,076.08	$1,532.24
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $246.36 / $276.11 / $320.00	Facility	80	$246.36	$276.11	$320.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $172.46 / $193.28 / $224.00	Facility	AS	$172.46	$193.28	$224.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $819.62 / $1,078.09 / $3,787.18	Facility		$819.62	$1,078.09	$3,787.18
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