Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,372.29 / $8,545.00 / $16,163.54	Facility		$1,372.29	$8,545.00	$16,163.54
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $10,601.50 / $10,601.50 / $10,601.50	Facility	22	$10,601.50	$10,601.50	$10,601.50
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 $868.12 / $1,041.74 / $1,284.82	Professional		$868.12	$1,041.74	$1,284.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $945.30 / $1,268.89 / $1,829.71	Facility		$945.30	$1,268.89	$1,829.71
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $242.72 / $326.05 / $365.94	Facility	80	$242.72	$326.05	$365.94
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $169.90 / $228.23 / $256.16	Facility	AS	$169.90	$228.23	$256.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $921.18 / $1,229.43 / $7,902.00	Facility		$921.18	$1,229.43	$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