Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.75 / $5,360.00 / $9,539.00	Facility		$327.75	$5,360.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.54 / $336.65 / $415.20	Professional		$280.54	$336.65	$415.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $319.02 / $402.25 / $576.69	Facility		$319.02	$402.25	$576.69
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $78.48 / $103.07 / $117.59	Facility	80	$78.48	$103.07	$117.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $298.05 / $391.46 / $3,512.00	Facility		$298.05	$391.46	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00