Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,011.87 / $13,182.57	Facility		$1,513.56	$5,011.87	$13,182.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $37,153.52 / $50,118.72	Facility		$15,848.93	$37,153.52	$50,118.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,548.82	Professional		$1,047.13	$1,258.93	$1,548.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,754.23	Facility		$1,202.26	$1,698.24	$2,754.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $7,413.10	Facility		$1,122.02	$1,698.24	$7,413.10
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