Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,939.13 / $4,796.00 / $9,539.00	Facility		$1,939.13	$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 $1,546.32 / $1,855.58 / $2,288.55	Professional		$1,546.32	$1,855.58	$2,288.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,923.60 / $2,360.82 / $3,512.53	Facility		$1,923.60	$2,360.82	$3,512.53
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $543.04 / $592.34 / $682.86	Facility	80	$543.04	$592.34	$682.86
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $380.13 / $414.63 / $478.00	Facility	AS	$380.13	$414.63	$478.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,621.00 / $2,268.92 / $4,462.00	Facility		$1,621.00	$2,268.92	$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