Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,366.13 / $6,827.70 / $15,165.00	Facility		$1,366.13	$6,827.70	$15,165.00
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 $1,138.44 / $1,366.13 / $1,684.89	Professional		$1,138.44	$1,366.13	$1,684.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,291.84 / $1,671.24 / $2,333.96	Facility		$1,291.84	$1,671.24	$2,333.96
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $326.87 / $377.77 / $491.04	Facility	80	$326.87	$377.77	$491.04
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $228.81 / $264.44 / $343.73	Facility	AS	$228.81	$264.44	$343.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,217.77 / $1,595.49 / $2,885.03	Facility		$1,217.77	$1,595.49	$2,885.03
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