Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.41 / $5,587.00 / $11,425.00	Facility		$920.41	$5,587.00	$11,425.00
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 $794.90 / $953.88 / $1,176.45	Professional		$794.90	$953.88	$1,176.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $788.45 / $1,112.16 / $1,553.46	Facility		$788.45	$1,112.16	$1,553.46
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $210.82 / $300.41 / $330.61	Facility	80	$210.82	$300.41	$330.61
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $147.57 / $210.29 / $231.43	Facility	AS	$147.57	$210.29	$231.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $837.32 / $1,094.46 / $5,122.00	Facility		$837.32	$1,094.46	$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