Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,021.31 / $7,492.34 / $20,725.81	Facility		$2,021.31	$7,492.34	$20,725.81
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 $1,063.67 / $1,276.40 / $1,574.23	Professional		$1,063.67	$1,276.40	$1,574.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,217.68 / $1,748.85 / $2,449.92	Facility		$1,217.68	$1,748.85	$2,449.92
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,623.28 / $3,025.56 / $6,057.00	Facility	50	$2,623.28	$3,025.56	$6,057.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $349.77 / $403.41 / $807.60	Facility	80	$349.77	$403.41	$807.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $244.84 / $282.39 / $565.32	Facility	AS	$244.84	$282.39	$565.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,267.07 / $1,699.36 / $6,585.00	Facility		$1,267.07	$1,699.36	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00