Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,428.59 / $4,771.00 / $9,539.00	Facility		$1,428.59	$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 $1,169.33 / $1,403.21 / $1,730.62	Professional		$1,169.33	$1,403.21	$1,730.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,424.40 / $1,753.27 / $2,614.32	Facility		$1,424.40	$1,753.27	$2,614.32
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $402.92 / $447.43 / $503.07	Facility	80	$402.92	$447.43	$503.07
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $282.04 / $313.20 / $352.15	Facility	AS	$282.04	$313.20	$352.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,239.33 / $1,706.94 / $4,462.00	Facility		$1,239.33	$1,706.94	$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