Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.60 / $4,863.18 / $9,799.67	Facility		$723.60	$4,863.18	$9,799.67
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 $584.69 / $701.63 / $865.34	Professional		$584.69	$701.63	$865.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $567.77 / $789.43 / $1,101.90	Facility		$567.77	$789.43	$1,101.90
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $169.06 / $202.06 / $239.88	Facility	80	$169.06	$202.06	$239.88
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $118.34 / $141.44 / $167.92	Facility	AS	$118.34	$141.44	$167.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $478.43 / $841.95 / $5,122.00	Facility		$478.43	$841.95	$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