Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,761.72 / $4,796.00 / $9,539.00	Facility		$2,761.72	$4,796.00	$9,539.00
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 $2,230.75 / $2,676.90 / $3,301.51	Professional		$2,230.75	$2,676.90	$3,301.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,454.13 / $3,153.75 / $4,913.43	Facility		$2,454.13	$3,153.75	$4,913.43
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $755.91 / $848.51 / $982.69	Facility	80	$755.91	$848.51	$982.69
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $529.14 / $593.96 / $687.88	Facility	AS	$529.14	$593.96	$687.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,184.35 / $3,210.99 / $5,834.73	Facility		$2,184.35	$3,210.99	$5,834.73
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