Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.81 / $4,771.00 / $9,539.00	Facility		$852.81	$4,771.00	$9,539.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $409.98 / $426.41 / $1,021.28	Facility	52	$409.98	$426.41	$1,021.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,927.78 / $20,791.37	Facility		$8,671.00	$14,927.78	$20,791.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $712.97 / $855.56 / $1,055.20	Professional		$712.97	$855.56	$1,055.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $825.11 / $1,007.86 / $1,441.25	Facility		$825.11	$1,007.86	$1,441.25
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $186.51 / $220.72 / $300.36	Facility	80	$186.51	$220.72	$300.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $760.38 / $984.02 / $2,070.00	Facility		$760.38	$984.02	$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