Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,139.77 / $5,048.00 / $9,539.00	Facility		$3,139.77	$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 $2,593.69 / $3,112.44 / $3,841.45	Professional		$2,593.69	$3,112.44	$3,841.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,888.38 / $3,710.64 / $5,261.29	Facility		$2,888.38	$3,710.64	$5,261.29
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $663.20 / $971.18 / $1,073.55	Facility	80	$663.20	$971.18	$1,073.55
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $464.24 / $679.82 / $751.48	Facility	AS	$464.24	$679.82	$751.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,614.78 / $3,488.42 / $6,417.65	Facility		$2,614.78	$3,488.42	$6,417.65
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