Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.93 / $4,771.00 / $9,539.00	Facility		$302.93	$4,771.00	$9,539.00
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 $246.65 / $295.98 / $365.04	Professional		$246.65	$295.98	$365.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $271.29 / $358.01 / $516.92	Facility		$271.29	$358.01	$516.92
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $67.09 / $80.68 / $106.60	Facility	80	$67.09	$80.68	$106.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $46.96 / $56.47 / $74.62	Facility	AS	$46.96	$56.47	$74.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $259.35 / $351.64 / $1,621.00	Facility		$259.35	$351.64	$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