Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,180.30 / $6,827.70 / $16,589.00	Facility		$1,180.30	$6,827.70	$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 $786.29 / $943.55 / $1,163.71	Professional		$786.29	$943.55	$1,163.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $748.57 / $1,101.15 / $1,491.46	Facility		$748.57	$1,101.15	$1,491.46
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $244.35 / $289.74 / $327.97	Facility	80	$244.35	$289.74	$327.97
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $171.05 / $202.82 / $229.58	Facility	AS	$171.05	$202.82	$229.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $935.63 / $1,191.59 / $7,902.00	Facility		$935.63	$1,191.59	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $12,407.00 / $26,537.00	Facility		$7,408.00	$12,407.00	$26,537.00