Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.67 / $5,412.00 / $11,425.00	Facility		$833.67	$5,412.00	$11,425.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,495.61 / $20,189.45	Facility		$8,671.00	$14,495.61	$20,189.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $722.10 / $866.52 / $1,068.71	Professional		$722.10	$866.52	$1,068.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $709.23 / $985.24 / $1,408.90	Facility		$709.23	$985.24	$1,408.90
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $182.77 / $268.77 / $497.20	Facility	80	$182.77	$268.77	$497.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $127.94 / $188.15 / $348.04	Facility	AS	$127.94	$188.15	$348.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $730.69 / $967.41 / $6,585.00	Facility		$730.69	$967.41	$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