Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.49 / $3,645.00 / $8,920.00	Facility		$915.49	$3,645.00	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49,208.00 / $62,509.00 / $67,760.00	Facility		$49,208.00	$62,509.00	$67,760.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.10 / $606.12 / $750.76	Professional		$505.10	$606.12	$750.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $557.83 / $713.68 / $1,002.52	Facility		$557.83	$713.68	$1,002.52
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $841.02 / $1,179.43 / $1,503.78	Facility	50	$841.02	$1,179.43	$1,503.78
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $78.50 / $110.08 / $140.35	Facility	AS	$78.50	$110.08	$140.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $507.55 / $697.43 / $9,929.00	Facility		$507.55	$697.43	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $20,499.00 / $40,200.00 / $81,661.00	Facility		$20,499.00	$40,200.00	$81,661.00