Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.83 / $5,636.00 / $16,673.91	Facility		$1,189.83	$5,636.00	$16,673.91
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $24,958.86 / $24,958.86 / $24,958.86	Facility	22	$24,958.86	$24,958.86	$24,958.86
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 $997.89 / $1,197.47 / $1,476.88	Professional		$997.89	$1,197.47	$1,476.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,085.36 / $1,406.17 / $1,987.48	Facility		$1,085.36	$1,406.17	$1,987.48
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $265.51 / $337.69 / $421.88	Facility	80	$265.51	$337.69	$421.88
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $185.86 / $236.38 / $295.31	Facility	AS	$185.86	$236.38	$295.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,046.03 / $1,368.79 / $6,585.00	Facility		$1,046.03	$1,368.79	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,398.00 / $10,439.00 / $21,639.00	Facility		$6,398.00	$10,439.00	$21,639.00