Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,591.07 / $4,882.27 / $10,767.00	Facility		$2,591.07	$4,882.27	$10,767.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $33,356.72 / $33,356.72 / $33,356.72	Facility	50	$33,356.72	$33,356.72	$33,356.72
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 $2,136.16 / $2,563.39 / $3,164.36	Professional		$2,136.16	$2,563.39	$3,164.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,379.80 / $3,015.11 / $4,232.87	Facility		$2,379.80	$3,015.11	$4,232.87
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $4,123.16 / $4,901.10 / $6,643.85	Facility	50	$4,123.16	$4,901.10	$6,643.85
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $549.75 / $653.48 / $885.85	Facility	80	$549.75	$653.48	$885.85
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $384.83 / $457.44 / $620.09	Facility	AS	$384.83	$457.44	$620.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $2,912.48 / $5,410.43	Facility		$2,070.00	$2,912.48	$5,410.43
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