Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,331.05 / $4,771.00 / $9,539.00	Facility		$1,331.05	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,927.78 / $20,791.37	Facility		$8,671.00	$14,927.78	$20,791.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,106.78 / $1,328.14 / $1,638.03	Professional		$1,106.78	$1,328.14	$1,638.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,328.76 / $1,701.00 / $2,435.82	Facility		$1,328.76	$1,701.00	$2,435.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,292.22 / $1,739.50 / $3,203.65	Facility		$1,292.22	$1,739.50	$3,203.65
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