Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,366.62 / $5,087.00 / $8,925.00	Facility		$1,366.62	$5,087.00	$8,925.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,233.42 / $20,327.45 / $28,312.01	Facility		$12,233.42	$20,327.45	$28,312.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,157.76 / $1,389.31 / $1,713.48	Professional		$1,157.76	$1,389.31	$1,713.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,366.62 / $1,636.44 / $2,428.23	Facility		$1,366.62	$1,636.44	$2,428.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,227.00 / $1,597.18 / $2,930.24	Facility		$1,227.00	$1,597.18	$2,930.24
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