Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,898.53 / $5,412.00 / $10,855.43	Facility		$2,898.53	$5,412.00	$10,855.43
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 $2,389.29 / $2,867.15 / $3,538.00	Professional		$2,389.29	$2,867.15	$3,538.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,661.59 / $3,425.54 / $4,850.09	Facility		$2,661.59	$3,425.54	$4,850.09
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $614.75 / $895.89 / $991.35	Facility	80	$614.75	$895.89	$991.35
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $430.33 / $627.12 / $693.95	Facility	AS	$430.33	$627.12	$693.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,406.87 / $3,208.46 / $5,908.91	Facility		$2,406.87	$3,208.46	$5,908.91
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