Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.28 / $5,636.00 / $11,025.00	Facility		$572.28	$5,636.00	$11,025.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.70 / $605.64 / $746.96	Professional		$504.70	$605.64	$746.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $494.62 / $692.24 / $967.15	Facility		$494.62	$692.24	$967.15
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $130.24 / $189.79 / $206.72	Facility	80	$130.24	$189.79	$206.72
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $91.17 / $132.86 / $144.71	Facility	AS	$91.17	$132.86	$144.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $531.02 / $680.50 / $5,122.00	Facility		$531.02	$680.50	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00