Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,109.44 / $4,796.00 / $10,767.00	Facility		$2,109.44	$4,796.00	$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 $1,720.70 / $2,064.84 / $2,546.64	Professional		$1,720.70	$2,064.84	$2,546.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,043.87 / $2,588.85 / $3,860.28	Facility		$2,043.87	$2,588.85	$3,860.28
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $580.54 / $743.08 / $1,489.00	Facility	80	$580.54	$743.08	$1,489.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $406.38 / $520.16 / $1,042.30	Facility	AS	$406.38	$520.16	$1,042.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,736.00 / $2,385.28 / $4,470.77	Facility		$1,736.00	$2,385.28	$4,470.77
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