Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,042.85 / $8,294.00 / $18,596.39	Facility		$1,042.85	$8,294.00	$18,596.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $868.60 / $1,042.32 / $1,285.53	Professional		$868.60	$1,042.32	$1,285.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $983.91 / $1,279.88 / $1,776.89	Facility		$983.91	$1,279.88	$1,776.89
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $251.50 / $290.13 / $375.64	Facility	80	$251.50	$290.13	$375.64
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $176.05 / $203.09 / $262.94	Facility	AS	$176.05	$203.09	$262.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $904.83 / $1,240.06 / $6,585.00	Facility		$904.83	$1,240.06	$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