Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,359.34 / $5,048.00 / $9,539.00	Facility		$2,359.34	$5,048.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,938.05 / $2,325.66 / $2,869.39	Professional		$1,938.05	$2,325.66	$2,869.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,148.98 / $2,745.92 / $3,932.65	Facility		$2,148.98	$2,745.92	$3,932.65
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $499.42 / $709.62 / $807.12	Facility	80	$499.42	$709.62	$807.12
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $349.60 / $496.74 / $564.98	Facility	AS	$349.60	$496.74	$564.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,954.87 / $2,573.84 / $4,922.93	Facility		$1,954.87	$2,573.84	$4,922.93
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