Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.54 / $5,028.00 / $11,025.00	Facility		$580.54	$5,028.00	$11,025.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $658.35 / $790.02 / $974.36	Professional		$658.35	$790.02	$974.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $576.16 / $716.65 / $1,044.33	Facility		$576.16	$716.65	$1,044.33
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $128.33 / $204.59 / $252.52	Facility	80	$128.33	$204.59	$252.52
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $89.83 / $143.21 / $176.76	Facility	AS	$89.83	$143.21	$176.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $548.40 / $733.55 / $6,585.00	Facility		$548.40	$733.55	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00