Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $7,266.00 / $35,732.62	Facility		$1,538.00	$7,266.00	$35,732.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,162.00 / $17,132.29 / $23,861.81	Facility		$11,162.00	$17,132.29	$23,861.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,123.53 / $1,348.24 / $1,662.82	Professional		$1,123.53	$1,348.24	$1,662.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,218.94 / $1,611.25 / $2,247.00	Facility		$1,218.94	$1,611.25	$2,247.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $303.12 / $420.87 / $477.30	Facility	80	$303.12	$420.87	$477.30
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $212.18 / $294.61 / $334.11	Facility	AS	$212.18	$294.61	$334.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,170.34 / $1,572.24 / $6,585.00	Facility		$1,170.34	$1,572.24	$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