Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,665.14 / $8,691.09 / $16,430.27	Facility		$1,665.14	$8,691.09	$16,430.27
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 $917.59 / $1,101.10 / $1,358.03	Professional		$917.59	$1,101.10	$1,358.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,001.58 / $1,330.51 / $1,864.61	Facility		$1,001.58	$1,330.51	$1,864.61
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $252.71 / $344.11 / $384.32	Facility	80	$252.71	$344.11	$384.32
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $176.89 / $240.88 / $269.02	Facility	AS	$176.89	$240.88	$269.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $961.03 / $1,286.83 / $6,585.00	Facility		$961.03	$1,286.83	$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