Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,546.59 / $4,771.00 / $9,539.00	Facility		$1,546.59	$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 $1,242.27 / $1,490.72 / $1,838.56	Professional		$1,242.27	$1,490.72	$1,838.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,531.35 / $1,886.20 / $2,830.26	Facility		$1,531.35	$1,886.20	$2,830.26
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $434.81 / $473.55 / $602.62	Facility	80	$434.81	$473.55	$602.62
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $304.37 / $331.48 / $421.84	Facility	AS	$304.37	$331.48	$421.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,307.89 / $1,838.67 / $4,462.00	Facility		$1,307.89	$1,838.67	$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