Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,153.40 / $5,048.00 / $9,539.00	Facility		$2,153.40	$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 $1,779.13 / $2,134.96 / $2,634.41	Professional		$1,779.13	$2,134.96	$2,634.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,981.07 / $2,544.92 / $3,597.03	Facility		$1,981.07	$2,544.92	$3,597.03
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $320.76 / $449.55 / $516.21	Facility	AS	$320.76	$449.55	$516.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,855.32 / $2,404.29 / $4,503.39	Facility		$1,855.32	$2,404.29	$4,503.39
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