Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,119.77 / $5,412.00 / $11,425.00	Facility		$1,119.77	$5,412.00	$11,425.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,604.05 / $10,127.70 / $14,105.84	Facility		$6,604.05	$10,127.70	$14,105.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $947.15 / $1,136.58 / $1,401.78	Professional		$947.15	$1,136.58	$1,401.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,093.18 / $1,340.48 / $1,904.91	Facility		$1,093.18	$1,340.48	$1,904.91
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $251.48 / $294.56 / $396.39	Facility	80	$251.48	$294.56	$396.39
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $176.04 / $206.19 / $277.48	Facility	AS	$176.04	$206.19	$277.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $990.30 / $1,290.70 / $2,442.73	Facility		$990.30	$1,290.70	$2,442.73
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