Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,455.45 / $6,470.00 / $14,867.45	Facility		$1,455.45	$6,470.00	$14,867.45
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 $1,230.50 / $1,476.60 / $1,821.14	Professional		$1,230.50	$1,476.60	$1,821.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,343.75 / $1,720.07 / $2,401.11	Facility		$1,343.75	$1,720.07	$2,401.11
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $317.61 / $394.83 / $513.60	Facility	80	$317.61	$394.83	$513.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $222.32 / $276.38 / $359.52	Facility	AS	$222.32	$276.38	$359.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,256.09 / $1,670.03 / $6,585.00	Facility		$1,256.09	$1,670.03	$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