Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,065.21 / $4,974.52 / $9,539.00	Facility		$2,065.21	$4,974.52	$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 $1,716.54 / $2,059.85 / $2,542.61	Professional		$1,716.54	$2,059.85	$2,542.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,910.10 / $2,424.88 / $3,470.98	Facility		$1,910.10	$2,424.88	$3,470.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,723.25 / $2,343.11 / $4,332.47	Facility		$1,723.25	$2,343.11	$4,332.47
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