Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,728.51 / $5,048.00 / $9,539.00	Facility		$2,728.51	$5,048.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,219.42 / $2,663.30 / $3,284.74	Professional		$2,219.42	$2,663.30	$3,284.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,653.84 / $3,332.65 / $4,802.47	Facility		$2,653.84	$3,332.65	$4,802.47
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $521.63 / $590.54 / $672.67	Facility	AS	$521.63	$590.54	$672.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $3,010.26 / $5,779.54	Facility		$2,070.00	$3,010.26	$5,779.54
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