Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,656.15 / $4,390.00 / $10,767.00	Facility		$1,656.15	$4,390.00	$10,767.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,480.37 / $9,394.00 / $12,872.86	Facility		$6,480.37	$9,394.00	$12,872.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,352.04 / $1,622.45 / $2,001.02	Professional		$1,352.04	$1,622.45	$2,001.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,583.59 / $2,004.10 / $2,836.08	Facility		$1,583.59	$2,004.10	$2,836.08
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $419.01 / $441.29 / $582.74	Facility	80	$419.01	$441.29	$582.74
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $293.31 / $308.89 / $407.92	Facility	AS	$293.31	$308.89	$407.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,351.34 / $1,871.93 / $4,462.00	Facility		$1,351.34	$1,871.93	$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