Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,579.80 / $5,048.00 / $9,539.00	Facility		$1,579.80	$5,048.00	$9,539.00
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 $1,266.48 / $1,519.78 / $1,874.39	Professional		$1,266.48	$1,519.78	$1,874.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,572.77 / $1,923.10 / $2,782.17	Facility		$1,572.77	$1,923.10	$2,782.17
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $441.63 / $470.80 / $556.42	Facility	80	$441.63	$470.80	$556.42
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $309.14 / $329.56 / $389.50	Facility	AS	$309.14	$329.56	$389.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,279.24 / $1,807.60 / $4,462.00	Facility		$1,279.24	$1,807.60	$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