Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,454.93 / $4,771.00 / $9,539.00	Facility		$1,454.93	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,927.78 / $20,791.37	Facility		$8,671.00	$14,927.78	$20,791.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,207.59 / $1,449.12 / $1,787.25	Professional		$1,207.59	$1,449.12	$1,787.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,367.99 / $1,785.59 / $2,617.12	Facility		$1,367.99	$1,785.59	$2,617.12
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $349.87 / $452.61 / $523.41	Facility	80	$349.87	$452.61	$523.41
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $244.91 / $316.83 / $366.40	Facility	AS	$244.91	$316.83	$366.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,281.33 / $1,699.90 / $3,072.78	Facility		$1,281.33	$1,699.90	$3,072.78
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