Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.16 / $3,633.00 / $9,539.00	Facility		$854.16	$3,633.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,392.00 / $14,798.00 / $20,993.00	Facility		$7,392.00	$14,798.00	$20,993.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $721.96 / $866.35 / $1,068.50	Professional		$721.96	$866.35	$1,068.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $821.50 / $1,048.50 / $1,563.11	Facility		$821.50	$1,048.50	$1,563.11
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $239.87 / $277.50 / $347.96	Facility	80	$239.87	$277.50	$347.96
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $167.91 / $194.25 / $243.57	Facility	AS	$167.91	$194.25	$243.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $806.73 / $1,064.04 / $9,929.00	Facility		$806.73	$1,064.04	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $13,091.00 / $25,548.00 / $64,092.00	Facility		$13,091.00	$25,548.00	$64,092.00