Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,440.05 / $4,771.00 / $9,539.00	Facility		$1,440.05	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $9,527.62 / $13,270.04	Facility		$6,385.00	$9,527.62	$13,270.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,209.43 / $1,451.32 / $1,794.65	Professional		$1,209.43	$1,451.32	$1,794.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,338.03 / $1,681.09 / $2,433.67	Facility		$1,338.03	$1,681.09	$2,433.67
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,252.51 / $3,369.46 / $3,701.41	Facility	50	$2,252.51	$3,369.46	$3,701.41
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $300.33 / $449.26 / $493.52	Facility	80	$300.33	$449.26	$493.52
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $210.23 / $314.48 / $345.47	Facility	AS	$210.23	$314.48	$345.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,217.05 / $1,658.20 / $3,181.96	Facility		$1,217.05	$1,658.20	$3,181.96
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