Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $968.46 / $8,900.00 / $18,188.97	Facility		$968.46	$8,900.00	$18,188.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.27 / $588.32 / $725.60	Professional		$490.27	$588.32	$725.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $528.17 / $706.90 / $1,041.57	Facility		$528.17	$706.90	$1,041.57
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $138.66 / $182.77 / $231.12	Facility	80	$138.66	$182.77	$231.12
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $97.06 / $127.94 / $161.78	Facility	AS	$97.06	$127.94	$161.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $517.94 / $693.07 / $7,902.00	Facility		$517.94	$693.07	$7,902.00
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