Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.10 / $5,120.02 / $11,024.00	Facility		$912.10	$5,120.02	$11,024.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,266.00 / $8,669.00 / $11,373.00	Facility		$6,266.00	$8,669.00	$11,373.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $609.80 / $731.77 / $902.52	Professional		$609.80	$731.77	$902.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $725.06 / $925.38 / $1,369.83	Facility		$725.06	$925.38	$1,369.83
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $203.79 / $231.73 / $310.30	Facility	80	$203.79	$231.73	$310.30
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $142.65 / $162.21 / $217.21	Facility	AS	$142.65	$162.21	$217.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $658.15 / $895.13 / $9,929.00	Facility		$658.15	$895.13	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00