Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,219.30 / $5,636.00 / $14,867.45	Facility		$1,219.30	$5,636.00	$14,867.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $857.20 / $1,028.64 / $1,268.66	Professional		$857.20	$1,028.64	$1,268.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $919.45 / $1,196.65 / $1,654.14	Facility		$919.45	$1,196.65	$1,654.14
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $172.16 / $256.32 / $355.57	Facility	80	$172.16	$256.32	$355.57
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $120.51 / $179.43 / $248.90	Facility	AS	$120.51	$179.43	$248.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $868.86 / $1,165.09 / $6,585.00	Facility		$868.86	$1,165.09	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00