Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,311.91 / $5,048.00 / $9,539.00	Facility		$2,311.91	$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 $1,917.22 / $2,300.66 / $2,841.04	Professional		$1,917.22	$2,300.66	$2,841.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,135.16 / $2,713.11 / $3,888.97	Facility		$2,135.16	$2,713.11	$3,888.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,944.30 / $2,577.19 / $4,839.50	Facility		$1,944.30	$2,577.19	$4,839.50
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