Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.13 / $4,771.00 / $9,539.00	Facility		$1,495.13	$4,771.00	$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 $1,202.67 / $1,443.20 / $1,779.95	Professional		$1,202.67	$1,443.20	$1,779.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,491.04 / $1,834.93 / $2,736.09	Facility		$1,491.04	$1,834.93	$2,736.09
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $422.70 / $459.66 / $582.72	Facility	80	$422.70	$459.66	$582.72
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $295.89 / $321.76 / $407.91	Facility	AS	$295.89	$321.76	$407.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,269.50 / $1,798.00 / $4,462.00	Facility		$1,269.50	$1,798.00	$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