Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,562.87 / $5,412.00 / $10,767.00	Facility		$3,562.87	$5,412.00	$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 $2,874.42 / $3,449.30 / $4,254.14	Professional		$2,874.42	$3,449.30	$4,254.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,459.30 / $4,330.24 / $6,241.05	Facility		$3,459.30	$4,330.24	$6,241.05
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $966.83 / $1,087.11 / $1,254.55	Facility	80	$966.83	$1,087.11	$1,254.55
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $676.78 / $760.98 / $878.19	Facility	AS	$676.78	$760.98	$878.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,471.00 / $3,816.46 / $7,538.69	Facility		$2,471.00	$3,816.46	$7,538.69
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