Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,847.44 / $5,048.00 / $10,767.00	Facility		$1,847.44	$5,048.00	$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 $1,505.31 / $1,806.37 / $2,227.86	Professional		$1,505.31	$1,806.37	$2,227.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,796.59 / $2,183.34 / $3,251.79	Facility		$1,796.59	$2,183.34	$3,251.79
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $500.72 / $570.90 / $691.43	Facility	80	$500.72	$570.90	$691.43
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $350.51 / $399.63 / $484.00	Facility	AS	$350.51	$399.63	$484.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,518.75 / $2,070.00 / $4,462.00	Facility		$1,518.75	$2,070.00	$4,462.00
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