Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,421.25 / $7,509.13 / $16,589.00	Facility		$1,421.25	$7,509.13	$16,589.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $921.36 / $1,105.63 / $1,363.61	Professional		$921.36	$1,105.63	$1,363.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $914.60 / $1,286.92 / $1,772.65	Facility		$914.60	$1,286.92	$1,772.65
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $249.30 / $294.06 / $389.95	Facility	80	$249.30	$294.06	$389.95
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $174.51 / $205.84 / $272.97	Facility	AS	$174.51	$205.84	$272.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $967.53 / $1,290.29 / $7,902.00	Facility		$967.53	$1,290.29	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00