Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,263.88 / $5,282.00 / $9,539.00	Facility		$1,263.88	$5,282.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,685.00 / $17,371.00 / $24,194.30	Facility		$8,685.00	$17,371.00	$24,194.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.65 / $1,257.18 / $1,550.52	Professional		$1,047.65	$1,257.18	$1,550.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,149.69 / $1,551.12 / $2,253.86	Facility		$1,149.69	$1,551.12	$2,253.86
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $205.98 / $275.97 / $311.33	Facility	AS	$205.98	$275.97	$311.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,132.20 / $1,503.15 / $2,706.16	Facility		$1,132.20	$1,503.15	$2,706.16
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