Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,631.24 / $4,796.00 / $9,539.00	Facility		$1,631.24	$4,796.00	$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 $1,309.78 / $1,571.74 / $1,938.47	Professional		$1,309.78	$1,571.74	$1,938.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,618.75 / $1,990.91 / $2,920.77	Facility		$1,618.75	$1,990.91	$2,920.77
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $456.76 / $501.12 / $656.12	Facility	80	$456.76	$501.12	$656.12
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $319.73 / $350.78 / $459.29	Facility	AS	$319.73	$350.78	$459.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,323.75 / $1,878.28 / $4,462.00	Facility		$1,323.75	$1,878.28	$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