Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,689.68 / $5,226.32 / $10,767.00	Facility		$2,689.68	$5,226.32	$10,767.00
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 $2,187.83 / $2,625.40 / $3,237.99	Professional		$2,187.83	$2,625.40	$3,237.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,618.67 / $3,277.88 / $4,820.35	Facility		$2,618.67	$3,277.88	$4,820.35
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $734.20 / $947.49 / $1,468.40	Facility	80	$734.20	$947.49	$1,468.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $513.94 / $663.24 / $1,027.88	Facility	AS	$513.94	$663.24	$1,027.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $2,964.80 / $5,692.25	Facility		$2,070.00	$2,964.80	$5,692.25
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