Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.00 / $5,751.00 / $11,842.82	Facility		$883.00	$5,751.00	$11,842.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,392.00 / $14,798.00 / $20,993.00	Facility		$7,392.00	$14,798.00	$20,993.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.45 / $848.94 / $1,047.03	Professional		$707.45	$848.94	$1,047.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $691.98 / $983.36 / $1,480.20	Facility		$691.98	$983.36	$1,480.20
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $186.43 / $276.39 / $582.20	Facility	80	$186.43	$276.39	$582.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $130.50 / $193.48 / $407.54	Facility	AS	$130.50	$193.48	$407.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $752.73 / $982.79 / $6,585.00	Facility		$752.73	$982.79	$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