Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.51 / $4,796.00 / $8,920.00	Facility		$922.51	$4,796.00	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,814.00 / $13,820.00 / $14,999.00	Facility		$10,814.00	$13,820.00	$14,999.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $768.79 / $922.55 / $1,137.81	Professional		$768.79	$922.55	$1,137.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $903.17 / $1,126.35 / $1,679.52	Facility		$903.17	$1,126.35	$1,679.52
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $221.22 / $286.52 / $393.12	Facility	80	$221.22	$286.52	$393.12
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $154.85 / $200.56 / $275.18	Facility	AS	$154.85	$200.56	$275.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $834.79 / $1,091.32 / $9,929.00	Facility		$834.79	$1,091.32	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $12,150.00 / $26,218.00 / $64,572.00	Facility		$12,150.00	$26,218.00	$64,572.00