Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,419.06 / $8,517.00 / $31,831.80	Facility		$1,419.06	$8,517.00	$31,831.80
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 $1,153.81 / $1,384.57 / $1,707.64	Professional		$1,153.81	$1,384.57	$1,707.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,093.58 / $1,617.45 / $2,235.81	Facility		$1,093.58	$1,617.45	$2,235.81
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $333.58 / $395.55 / $486.82	Facility	80	$333.58	$395.55	$486.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $233.51 / $276.88 / $340.77	Facility	AS	$233.51	$276.88	$340.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,292.84 / $1,649.96 / $7,902.00	Facility		$1,292.84	$1,649.96	$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