Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,188.91 / $7,428.50 / $21,077.00	Facility		$1,188.91	$7,428.50	$21,077.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $333.97 / $375.65 / $895.76	Facility	52	$333.97	$375.65	$895.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $628.51 / $754.21 / $930.19	Professional		$628.51	$754.21	$930.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $667.93 / $948.46 / $1,376.09	Facility		$667.93	$948.46	$1,376.09
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $215.49 / $248.66 / $300.67	Facility	80	$215.49	$248.66	$300.67
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $150.84 / $174.06 / $210.47	Facility	AS	$150.84	$174.06	$210.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $742.08 / $988.80 / $7,902.00	Facility		$742.08	$988.80	$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