Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.48 / $4,390.00 / $8,920.00	Facility		$991.48	$4,390.00	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,604.05 / $10,127.70 / $14,105.84	Facility		$6,604.05	$10,127.70	$14,105.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $796.34 / $955.61 / $1,178.58	Professional		$796.34	$955.61	$1,178.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $935.80 / $1,216.82 / $1,748.47	Facility		$935.80	$1,216.82	$1,748.47
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $238.83 / $297.13 / $357.02	Facility	80	$238.83	$297.13	$357.02
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $167.18 / $207.99 / $249.92	Facility	AS	$167.18	$207.99	$249.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $897.94 / $1,171.50 / $2,201.71	Facility		$897.94	$1,171.50	$2,201.71
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