Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,160.94 / $4,771.00 / $9,539.00	Facility		$1,160.94	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $929.29 / $1,115.15 / $1,375.35	Professional		$929.29	$1,115.15	$1,375.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,063.33 / $1,339.81 / $1,961.99	Facility		$1,063.33	$1,339.81	$1,961.99
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,086.50 / $2,413.54 / $3,064.96	Facility	50	$2,086.50	$2,413.54	$3,064.96
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $278.20 / $321.80 / $408.66	Facility	80	$278.20	$321.80	$408.66
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $194.74 / $225.26 / $286.06	Facility	AS	$194.74	$225.26	$286.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $785.97 / $1,348.52 / $9,929.00	Facility		$785.97	$1,348.52	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00