Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,860.54 / $8,117.00 / $11,801.14	Facility		$1,860.54	$8,117.00	$11,801.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,029.14 / $1,234.97 / $1,523.13	Professional		$1,029.14	$1,234.97	$1,523.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,119.05 / $1,446.83 / $2,049.42	Facility		$1,119.05	$1,446.83	$2,049.42
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $270.70 / $327.24 / $436.11	Facility	80	$270.70	$327.24	$436.11
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $189.50 / $229.07 / $305.27	Facility	AS	$189.50	$229.07	$305.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,018.27 / $1,416.86 / $6,585.00	Facility		$1,018.27	$1,416.86	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00