Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,633.00 / $5,412.00 / $11,204.80	Facility		$3,633.00	$5,412.00	$11,204.80
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 $3,069.55 / $3,683.46 / $4,542.93	Professional		$3,069.55	$3,683.46	$4,542.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,563.09 / $4,409.07 / $6,496.67	Facility		$3,563.09	$4,409.07	$6,496.67
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $943.95 / $1,027.07 / $1,336.28	Facility	80	$943.95	$1,027.07	$1,336.28
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $660.77 / $718.95 / $935.40	Facility	AS	$660.77	$718.95	$935.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,183.81 / $4,120.88 / $8,033.26	Facility		$2,183.81	$4,120.88	$8,033.26
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