Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,276.18 / $4,390.00 / $9,539.00	Facility		$1,276.18	$4,390.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,628.60 / $19,225.23 / $26,671.93	Facility		$11,628.60	$19,225.23	$26,671.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,081.86 / $1,298.24 / $1,601.17	Professional		$1,081.86	$1,298.24	$1,601.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,168.90 / $1,508.21 / $2,084.81	Facility		$1,168.90	$1,508.21	$2,084.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,079.68 / $1,454.31 / $2,835.57	Facility		$1,079.68	$1,454.31	$2,835.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.00 / $3,295.00 / $5,790.00	Facility		$1,621.00	$3,295.00	$5,790.00