Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.79 / $5,282.00 / $20,000.00	Facility		$636.79	$5,282.00	$20,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $619.98 / $764.64	Professional		$516.65	$619.98	$764.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $629.52 / $781.52 / $1,165.33	Facility		$629.52	$781.52	$1,165.33
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $178.85 / $196.54 / $253.16	Facility	80	$178.85	$196.54	$253.16
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $125.19 / $137.58 / $177.21	Facility	AS	$125.19	$137.58	$177.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $582.36 / $780.79 / $7,420.00	Facility		$582.36	$780.79	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00