Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.33 / $4,771.00 / $9,539.00	Facility		$916.33	$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 $764.78 / $917.74 / $1,131.86	Professional		$764.78	$917.74	$1,131.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $817.49 / $1,124.58 / $1,496.95	Facility		$817.49	$1,124.58	$1,496.95
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,576.98 / $2,134.65 / $2,454.57	Facility	50	$1,576.98	$2,134.65	$2,454.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $794.34 / $1,089.60 / $2,070.00	Facility		$794.34	$1,089.60	$2,070.00
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