Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,235.94 / $8,317.64	Facility		$100.00	$3,235.94	$8,317.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $23,442.29 / $31,622.78	Facility		$13,803.84	$23,442.29	$31,622.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $239.88	Professional		$74.13	$93.33	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $204.17	Professional		$125.89	$158.49	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $123.03 / $177.83	Facility		$85.11	$123.03	$177.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $117.49 / $5,248.07	Facility		$81.28	$117.49	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46