Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,768.22 / $5,412.00 / $14,187.00	Facility		$1,768.22	$5,412.00	$14,187.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,986.24 / $19,149.90 / $26,671.93	Facility		$11,986.24	$19,149.90	$26,671.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,480.84 / $1,777.01 / $2,191.64	Professional		$1,480.84	$1,777.01	$2,191.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,616.11 / $2,089.71 / $2,888.62	Facility		$1,616.11	$2,089.71	$2,888.62
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $288.04 / $353.48 / $439.38	Facility	AS	$288.04	$353.48	$439.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,485.23 / $2,021.23 / $3,763.14	Facility		$1,485.23	$2,021.23	$3,763.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $7,044.00	Facility		$1,547.00	$3,130.00	$7,044.00