Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.92 / $5,091.00 / $10,767.00	Facility		$986.92	$5,091.00	$10,767.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $488.08 / $488.08 / $1,161.44	Facility	52	$488.08	$488.08	$1,161.44
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 $822.13 / $986.56 / $1,216.75	Professional		$822.13	$986.56	$1,216.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $1,175.76 / $1,693.11	Facility		$934.00	$1,175.76	$1,693.11
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $209.93 / $271.95 / $351.36	Facility	80	$209.93	$271.95	$351.36
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $146.94 / $190.37 / $245.95	Facility	AS	$146.94	$190.37	$245.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $849.62 / $1,158.50 / $9,929.00	Facility		$849.62	$1,158.50	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $12,150.00 / $25,331.00 / $64,092.00	Facility		$12,150.00	$25,331.00	$64,092.00