Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,740.68 / $4,796.00 / $9,539.00	Facility		$1,740.68	$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 $1,394.14 / $1,672.97 / $2,063.33	Professional		$1,394.14	$1,672.97	$2,063.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,707.86 / $2,113.50 / $3,067.44	Facility		$1,707.86	$2,113.50	$3,067.44
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $485.89 / $533.40 / $613.49	Facility	80	$485.89	$533.40	$613.49
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $340.12 / $373.38 / $429.44	Facility	AS	$340.12	$373.38	$429.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,469.29 / $2,012.90 / $4,462.00	Facility		$1,469.29	$2,012.90	$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