Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,704.58 / $4,796.00 / $9,539.00	Facility		$1,704.58	$4,796.00	$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 $1,420.47 / $1,704.56 / $2,106.81	Professional		$1,420.47	$1,704.56	$2,106.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,580.03 / $1,988.23 / $2,784.67	Facility		$1,580.03	$1,988.23	$2,784.67
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,693.10 / $3,215.47 / $4,375.46	Facility	50	$2,693.10	$3,215.47	$4,375.46
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $251.36 / $300.11 / $408.38	Facility	AS	$251.36	$300.11	$408.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,410.16 / $1,959.06 / $3,658.00	Facility		$1,410.16	$1,959.06	$3,658.00
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