Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,325.95 / $4,771.00 / $9,539.00	Facility		$1,325.95	$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 $1,068.53 / $1,282.24 / $1,581.42	Professional		$1,068.53	$1,282.24	$1,581.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,320.18 / $1,620.37 / $2,334.92	Facility		$1,320.18	$1,620.37	$2,334.92
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $372.11 / $407.78 / $466.98	Facility	80	$372.11	$407.78	$466.98
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $260.48 / $285.44 / $326.89	Facility	AS	$260.48	$285.44	$326.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,126.75 / $1,542.93 / $4,462.00	Facility		$1,126.75	$1,542.93	$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