Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,106.13 / $5,636.00 / $11,425.00	Facility		$1,106.13	$5,636.00	$11,425.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,922.00 / $15,873.55 / $22,108.63	Facility		$6,922.00	$15,873.55	$22,108.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $887.25 / $1,064.70 / $1,313.13	Professional		$887.25	$1,064.70	$1,313.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,097.66 / $1,351.22 / $2,016.90	Facility		$1,097.66	$1,351.22	$2,016.90
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,328.38 / $2,542.71 / $2,921.94	Facility	50	$2,328.38	$2,542.71	$2,921.94
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $310.45 / $339.03 / $389.59	Facility	80	$310.45	$339.03	$389.59
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $217.32 / $237.32 / $272.70	Facility	AS	$217.32	$237.32	$272.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $996.15 / $1,333.29 / $9,929.00	Facility		$996.15	$1,333.29	$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