Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,483.94 / $5,048.00 / $9,539.00	Facility		$2,483.94	$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 $2,070.38 / $2,484.46 / $3,068.86	Professional		$2,070.38	$2,484.46	$3,068.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,303.86 / $2,935.58 / $4,196.52	Facility		$2,303.86	$2,935.58	$4,196.52
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $522.84 / $772.77 / $1,383.20	Facility	80	$522.84	$772.77	$1,383.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $365.99 / $540.94 / $968.24	Facility	AS	$365.99	$540.94	$968.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,075.94 / $2,760.76 / $5,166.34	Facility		$2,075.94	$2,760.76	$5,166.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,295.00 / $5,790.00	Facility		$1,713.00	$3,295.00	$5,790.00