Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,028.10 / $4,912.83 / $9,539.00	Facility		$2,028.10	$4,912.83	$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 $1,622.89 / $1,947.47 / $2,401.88	Professional		$1,622.89	$1,947.47	$2,401.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,990.17 / $2,467.37 / $3,574.40	Facility		$1,990.17	$2,467.37	$3,574.40
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $564.65 / $622.50 / $714.88	Facility	80	$564.65	$622.50	$714.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,710.66 / $2,331.87 / $4,462.00	Facility		$1,710.66	$2,331.87	$4,462.00
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