Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,633.00 / $5,282.00 / $10,767.00	Facility		$3,633.00	$5,282.00	$10,767.00
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 $2,937.53 / $3,525.04 / $4,347.54	Professional		$2,937.53	$3,525.04	$4,347.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,532.21 / $4,313.14 / $6,167.79	Facility		$3,532.21	$4,313.14	$6,167.79
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $693.09 / $783.19 / $899.29	Facility	AS	$693.09	$783.19	$899.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,643.79 / $3,977.10 / $7,701.99	Facility		$2,643.79	$3,977.10	$7,701.99
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