Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,249.41 / $5,048.00 / $9,539.00	Facility		$2,249.41	$5,048.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,865.49 / $2,238.59 / $2,764.41	Professional		$1,865.49	$2,238.59	$2,764.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,076.41 / $2,631.08 / $3,777.80	Facility		$2,076.41	$2,631.08	$3,777.80
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $332.05 / $487.44 / $538.98	Facility	AS	$332.05	$487.44	$538.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,891.73 / $2,509.29 / $4,701.04	Facility		$1,891.73	$2,509.29	$4,701.04
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