Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,520.57 / $5,412.00 / $16,589.00	Facility		$1,520.57	$5,412.00	$16,589.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,162.00 / $17,132.29 / $23,861.81	Facility		$11,162.00	$17,132.29	$23,861.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,260.16 / $1,512.19 / $1,865.04	Professional		$1,260.16	$1,512.19	$1,865.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,424.68 / $1,866.16 / $2,572.65	Facility		$1,424.68	$1,866.16	$2,572.65
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $367.74 / $423.80 / $547.88	Facility	80	$367.74	$423.80	$547.88
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $257.42 / $296.66 / $383.51	Facility	AS	$257.42	$296.66	$383.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,331.70 / $1,774.19 / $3,208.49	Facility		$1,331.70	$1,774.19	$3,208.49
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