Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,491.13 / $4,771.00 / $9,539.00	Facility		$1,491.13	$4,771.00	$9,539.00
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 $1,241.69 / $1,490.03 / $1,837.70	Professional		$1,241.69	$1,490.03	$1,837.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,407.40 / $1,827.63 / $2,543.23	Facility		$1,407.40	$1,827.63	$2,543.23
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,667.68 / $3,483.82 / $4,023.80	Facility	50	$2,667.68	$3,483.82	$4,023.80
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $355.69 / $464.51 / $536.51	Facility	80	$355.69	$464.51	$536.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,322.24 / $1,745.87 / $3,148.81	Facility		$1,322.24	$1,745.87	$3,148.81
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