Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.87 / $5,048.00 / $14,796.00	Facility		$242.87	$5,048.00	$14,796.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,162.00 / $17,132.29 / $23,861.81	Facility		$11,162.00	$17,132.29	$23,861.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.51 / $234.61 / $289.35	Professional		$195.51	$234.61	$289.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $215.38 / $298.45 / $453.91	Facility		$215.38	$298.45	$453.91
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $68.04 / $74.56 / $85.50	Facility	80	$68.04	$74.56	$85.50
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $47.63 / $52.20 / $59.85	Facility	AS	$47.63	$52.20	$59.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $226.35 / $308.01 / $1,621.00	Facility		$226.35	$308.01	$1,621.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00