Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,909.00 / $5,412.00 / $11,025.00	Facility		$2,909.00	$5,412.00	$11,025.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,628.60 / $19,225.23 / $26,671.93	Facility		$11,628.60	$19,225.23	$26,671.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,571.52 / $3,085.82 / $3,805.85	Professional		$2,571.52	$3,085.82	$3,805.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,807.67 / $3,673.48 / $5,184.78	Facility		$2,807.67	$3,673.48	$5,184.78
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $5,168.54 / $6,246.36 / $8,252.62	Facility	50	$5,168.54	$6,246.36	$8,252.62
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $689.14 / $832.85 / $1,100.34	Facility	80	$689.14	$832.85	$1,100.34
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $482.40 / $582.99 / $770.24	Facility	AS	$482.40	$582.99	$770.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,717.36 / $3,597.40 / $8,031.00	Facility		$2,717.36	$3,597.40	$8,031.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,671.00 / $21,639.00	Facility		$6,423.00	$11,671.00	$21,639.00