Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $9,549.93	Facility		$1,819.70	$3,630.78	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $14,791.08 / $15,848.93	Facility		$11,748.98	$14,791.08	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $4,466.84	Professional		$1,412.54	$1,778.28	$4,466.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,630.78	Professional		$2,137.96	$2,691.53	$3,630.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,388.44	Facility		$1,621.81	$2,187.76	$3,388.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $6,760.83	Facility		$1,445.44	$2,041.74	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46