Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.00 / $4,771.00 / $9,539.00	Facility		$924.00	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,312.32 / $2,001.45 / $5,768.00	Facility		$1,312.32	$2,001.45	$5,768.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.46 / $889.75 / $1,097.35	Professional		$741.46	$889.75	$1,097.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $917.66 / $1,128.46 / $1,690.92	Facility		$917.66	$1,128.46	$1,690.92
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,948.82 / $2,124.03 / $2,783.07	Facility	50	$1,948.82	$2,124.03	$2,783.07
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $259.83 / $283.20 / $371.08	Facility	80	$259.83	$283.20	$371.08
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $181.89 / $198.24 / $259.75	Facility	AS	$181.89	$198.24	$259.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $833.84 / $1,116.25 / $3,856.21	Facility		$833.84	$1,116.25	$3,856.21
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