Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.53 / $5,980.00 / $15,742.00	Facility		$1,138.53	$5,980.00	$15,742.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,076.18 / $14,552.64 / $20,189.45	Facility		$10,076.18	$14,552.64	$20,189.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $965.75 / $1,158.90 / $1,429.31	Professional		$965.75	$1,158.90	$1,429.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $955.19 / $1,342.15 / $1,924.12	Facility		$955.19	$1,342.15	$1,924.12
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $253.01 / $353.10 / $689.60	Facility	80	$253.01	$353.10	$689.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $177.11 / $247.17 / $482.72	Facility	AS	$177.11	$247.17	$482.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,003.10 / $1,306.07 / $2,454.69	Facility		$1,003.10	$1,306.07	$2,454.69
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00