Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,633.00 / $5,048.00 / $9,539.00	Facility		$3,633.00	$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 $2,972.53 / $3,567.04 / $4,399.34	Professional		$2,972.53	$3,567.04	$4,399.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,270.90 / $4,210.89 / $6,576.94	Facility		$3,270.90	$4,210.89	$6,576.94
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $708.29 / $793.28 / $920.77	Facility	AS	$708.29	$793.28	$920.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,675.29 / $4,202.18 / $7,812.35	Facility		$2,675.29	$4,202.18	$7,812.35
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