Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,325.72 / $4,771.00 / $9,539.00	Facility		$1,325.72	$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 $1,066.46 / $1,279.75 / $1,578.36	Professional		$1,066.46	$1,279.75	$1,578.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,317.14 / $1,620.57 / $2,423.67	Facility		$1,317.14	$1,620.57	$2,423.67
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $372.41 / $407.61 / $467.08	Facility	80	$372.41	$407.61	$467.08
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $260.68 / $285.33 / $326.95	Facility	AS	$260.68	$285.33	$326.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,195.75 / $1,576.41 / $4,462.00	Facility		$1,195.75	$1,576.41	$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