Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,484.84 / $5,048.00 / $9,539.00	Facility		$2,484.84	$5,048.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,927.78 / $20,791.37	Facility		$8,671.00	$14,927.78	$20,791.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,058.91 / $2,470.69 / $3,047.19	Professional		$2,058.91	$2,470.69	$3,047.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,326.42 / $3,049.58 / $4,203.39	Facility		$2,326.42	$3,049.58	$4,203.39
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $600.14 / $771.84 / $895.78	Facility	80	$600.14	$771.84	$895.78
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $420.10 / $540.29 / $627.04	Facility	AS	$420.10	$540.29	$627.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,071.28 / $2,893.50 / $5,095.35	Facility		$2,071.28	$2,893.50	$5,095.35
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