Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,663.91 / $4,796.00 / $9,539.00	Facility		$1,663.91	$4,796.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,366.81 / $1,640.17 / $2,022.88	Professional		$1,366.81	$1,640.17	$2,022.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,663.91 / $2,042.08 / $2,948.97	Facility		$1,663.91	$2,042.08	$2,948.97
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $388.16 / $480.64 / $872.60	Facility	80	$388.16	$480.64	$872.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $271.70 / $336.45 / $610.82	Facility	AS	$271.70	$336.45	$610.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,483.28 / $1,918.74 / $3,555.08	Facility		$1,483.28	$1,918.74	$3,555.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00