Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,091.56 / $5,480.00 / $15,032.95	Facility		$1,091.56	$5,480.00	$15,032.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $825.04 / $990.05 / $1,221.06	Professional		$825.04	$990.05	$1,221.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $820.28 / $1,158.58 / $1,564.59	Facility		$820.28	$1,158.58	$1,564.59
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $232.69 / $297.45 / $344.24	Facility	80	$232.69	$297.45	$344.24
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $162.88 / $208.22 / $240.97	Facility	AS	$162.88	$208.22	$240.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $847.05 / $1,166.89 / $6,585.00	Facility		$847.05	$1,166.89	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00