Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,732.80 / $5,048.00 / $9,539.00	Facility		$2,732.80	$5,048.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,524.00 / $22,312.00 / $37,718.00	Facility		$12,524.00	$22,312.00	$37,718.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,294.00 / $2,752.80 / $3,395.12	Professional		$2,294.00	$2,752.80	$3,395.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,656.47 / $3,216.95 / $4,618.43	Facility		$2,656.47	$3,216.95	$4,618.43
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $624.88 / $745.08 / $961.54	Facility	80	$624.88	$745.08	$961.54
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $437.42 / $521.55 / $673.08	Facility	AS	$437.42	$521.55	$673.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,283.09 / $3,106.69 / $5,659.75	Facility		$2,283.09	$3,106.69	$5,659.75
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