Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,290.00 / $1,563.86 / $2,533.00	Facility		$1,290.00	$1,563.86	$2,533.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,104.00 / $9,336.50 / $13,003.86	Facility		$4,104.00	$9,336.50	$13,003.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.27 / $1,008.32 / $1,243.59	Professional		$840.27	$1,008.32	$1,243.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,072.43 / $1,382.44 / $2,153.05	Facility		$1,072.43	$1,382.44	$2,153.05
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $228.49 / $276.49 / $359.82	Facility	80	$228.49	$276.49	$359.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $896.94 / $1,202.67 / $2,189.37	Facility		$896.94	$1,202.67	$2,189.37
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