Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,016.00 / $8,589.10 / $16,589.00	Facility		$2,016.00	$8,589.10	$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 $766.93 / $920.32 / $1,135.06	Professional		$766.93	$920.32	$1,135.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $728.35 / $1,065.96 / $1,442.82	Facility		$728.35	$1,065.96	$1,442.82
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $235.08 / $278.87 / $314.43	Facility	80	$235.08	$278.87	$314.43
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $164.55 / $195.21 / $220.10	Facility	AS	$164.55	$195.21	$220.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $889.93 / $1,133.31 / $7,902.00	Facility		$889.93	$1,133.31	$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