Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.88 / $4,771.00 / $9,539.00	Facility		$233.88	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,289.00 / $4,699.53 / $6,545.49	Facility		$3,289.00	$4,699.53	$6,545.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.14 / $223.37 / $275.49	Professional		$186.14	$223.37	$275.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $233.88 / $287.04 / $597.54	Facility		$233.88	$287.04	$597.54
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $536.07 / $617.79 / $913.25	Facility	50	$536.07	$617.79	$913.25
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $71.48 / $82.37 / $121.77	Facility	80	$71.48	$82.37	$121.77
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $50.03 / $57.66 / $85.24	Facility	AS	$50.03	$57.66	$85.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $224.84 / $419.93 / $3,658.00	Facility		$224.84	$419.93	$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