Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.25 / $4,771.00 / $9,539.00	Facility		$647.25	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $561.27 / $673.52 / $835.03	Professional		$561.27	$673.52	$835.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $621.15 / $764.93 / $1,093.84	Facility		$621.15	$764.93	$1,093.84
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $988.52 / $1,200.59 / $1,667.05	Facility	50	$988.52	$1,200.59	$1,667.05
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $92.26 / $112.06 / $155.59	Facility	AS	$92.26	$112.06	$155.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $544.11 / $755.36 / $5,122.00	Facility		$544.11	$755.36	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00