Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.14 / $6,827.70 / $16,733.00	Facility		$1,628.14	$6,827.70	$16,733.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $850.22 / $1,020.26 / $1,258.33	Professional		$850.22	$1,020.26	$1,258.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $923.19 / $1,280.88 / $1,853.16	Facility		$923.19	$1,280.88	$1,853.16
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $241.31 / $321.64 / $370.63	Facility	80	$241.31	$321.64	$370.63
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $168.91 / $225.15 / $259.44	Facility	AS	$168.91	$225.15	$259.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $922.22 / $1,241.04 / $7,902.00	Facility		$922.22	$1,241.04	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00