Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.44 / $5,293.00 / $23,789.00	Facility		$1,138.44	$5,293.00	$23,789.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,827.15 / $10,412.25 / $18,606.00	Facility		$6,827.15	$10,412.25	$18,606.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $900.06 / $1,080.07 / $1,332.09	Professional		$900.06	$1,080.07	$1,332.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,138.43 / $1,380.94 / $1,999.38	Facility		$1,138.43	$1,380.94	$1,999.38
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $344.15 / $344.30 / $399.88	Facility	80	$344.15	$344.30	$399.88
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $240.91 / $241.01 / $279.91	Facility	AS	$240.91	$241.01	$279.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,035.32 / $1,385.76 / $5,502.98	Facility		$1,035.32	$1,385.76	$5,502.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $7,044.00	Facility		$1,547.00	$3,130.00	$7,044.00