Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,630.78 / $9,549.93	Facility		$2,454.71	$3,630.78	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,302.69 / $17,782.79	Facility		$9,772.37	$12,302.69	$17,782.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $2,630.27	Professional		$1,778.28	$2,137.96	$2,630.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $4,570.88	Professional		$1,621.81	$2,041.74	$4,570.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $4,168.69	Facility		$1,778.28	$2,454.71	$4,168.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,511.89 / $9,549.93	Facility		$1,380.38	$2,511.89	$9,549.93
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