Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,572.83 / $5,412.00 / $13,209.00	Facility		$1,572.83	$5,412.00	$13,209.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,966.61 / $33,300.96 / $46,381.49	Facility		$14,966.61	$33,300.96	$46,381.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,246.38 / $1,495.66 / $1,844.64	Professional		$1,246.38	$1,495.66	$1,844.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,428.04 / $1,858.81 / $2,658.08	Facility		$1,428.04	$1,858.81	$2,658.08
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $425.15 / $477.91 / $552.91	Facility	80	$425.15	$477.91	$552.91
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $297.60 / $334.54 / $387.05	Facility	AS	$297.60	$334.54	$387.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,319.94 / $1,846.17 / $4,462.00	Facility		$1,319.94	$1,846.17	$4,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,662.89 / $3,295.00 / $5,790.00	Facility		$1,662.89	$3,295.00	$5,790.00