Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,633.00 / $5,282.00 / $10,767.00	Facility		$3,633.00	$5,282.00	$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 $3,101.35 / $3,721.62 / $4,590.00	Professional		$3,101.35	$3,721.62	$4,590.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,412.83 / $4,391.06 / $6,844.12	Facility		$3,412.83	$4,391.06	$6,844.12
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $1,052.94 / $1,181.60 / $1,368.82	Facility	80	$1,052.94	$1,181.60	$1,368.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $737.06 / $827.13 / $958.18	Facility	AS	$737.06	$827.13	$958.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,791.22 / $4,370.89 / $8,126.03	Facility		$2,791.22	$4,370.89	$8,126.03
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