Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.55 / $3,645.00 / $8,920.00	Facility		$953.55	$3,645.00	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $636.36 / $763.63 / $941.81	Professional		$636.36	$763.63	$941.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $692.35 / $882.65 / $1,246.43	Facility		$692.35	$882.65	$1,246.43
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $163.60 / $196.93 / $263.27	Facility	80	$163.60	$196.93	$263.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $647.78 / $861.16 / $7,902.00	Facility		$647.78	$861.16	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00