Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.57 / $5,388.00 / $11,024.00	Facility		$995.57	$5,388.00	$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 $737.84 / $885.41 / $1,092.00	Professional		$737.84	$885.41	$1,092.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $849.28 / $1,050.03 / $1,551.01	Facility		$849.28	$1,050.03	$1,551.01
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $190.89 / $203.35 / $322.85	Facility	80	$190.89	$203.35	$322.85
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $133.62 / $142.34 / $226.00	Facility	AS	$133.62	$142.34	$226.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $697.21 / $970.96 / $9,929.00	Facility		$697.21	$970.96	$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