Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,299.92 / $5,048.00 / $9,539.00	Facility		$2,299.92	$5,048.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,495.61 / $20,189.45	Facility		$8,671.00	$14,495.61	$20,189.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,897.20 / $2,276.64 / $2,807.86	Professional		$1,897.20	$2,276.64	$2,807.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,880.96 / $2,636.05 / $3,757.26	Facility		$1,880.96	$2,636.05	$3,757.26
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $491.15 / $580.96 / $812.21	Facility	80	$491.15	$580.96	$812.21
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $343.81 / $406.67 / $568.54	Facility	AS	$343.81	$406.67	$568.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,903.94 / $2,541.94 / $4,771.97	Facility		$1,903.94	$2,541.94	$4,771.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00