Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,529.27 / $7,828.00 / $14,910.00	Facility		$1,529.27	$7,828.00	$14,910.00
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 $1,266.16 / $1,519.39 / $1,873.92	Professional		$1,266.16	$1,519.39	$1,873.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,430.67 / $1,876.84 / $2,584.91	Facility		$1,430.67	$1,876.84	$2,584.91
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $370.08 / $426.18 / $551.16	Facility	80	$370.08	$426.18	$551.16
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $259.06 / $298.33 / $385.82	Facility	AS	$259.06	$298.33	$385.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,353.37 / $1,783.39 / $3,226.87	Facility		$1,353.37	$1,783.39	$3,226.87
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