Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,227.84 / $8,294.00 / $16,589.00	Facility		$1,227.84	$8,294.00	$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 $930.29 / $1,116.34 / $1,376.83	Professional		$930.29	$1,116.34	$1,376.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $925.03 / $1,295.58 / $1,794.75	Facility		$925.03	$1,295.58	$1,794.75
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $249.79 / $295.47 / $393.35	Facility	80	$249.79	$295.47	$393.35
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $174.86 / $206.83 / $275.33	Facility	AS	$174.86	$206.83	$275.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $937.15 / $1,295.04 / $7,902.00	Facility		$937.15	$1,295.04	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $14,314.00 / $26,537.00	Facility		$8,367.00	$14,314.00	$26,537.00