Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.62 / $4,771.00 / $11,024.00	Facility		$795.62	$4,771.00	$11,024.00
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 $673.02 / $807.62 / $996.07	Professional		$673.02	$807.62	$996.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $730.48 / $940.28 / $1,310.43	Facility		$730.48	$940.28	$1,310.43
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $174.94 / $244.39 / $281.44	Facility	80	$174.94	$244.39	$281.44
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $122.46 / $171.07 / $197.01	Facility	AS	$122.46	$171.07	$197.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $691.67 / $921.36 / $7,902.00	Facility		$691.67	$921.36	$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