Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,591.40 / $4,771.00 / $9,539.00	Facility		$1,591.40	$4,771.00	$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 $1,320.34 / $1,584.41 / $1,954.10	Professional		$1,320.34	$1,584.41	$1,954.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,475.77 / $1,880.75 / $2,689.47	Facility		$1,475.77	$1,880.75	$2,689.47
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $237.42 / $323.72 / $382.58	Facility	AS	$237.42	$323.72	$382.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,385.60 / $1,854.09 / $3,475.70	Facility		$1,385.60	$1,854.09	$3,475.70
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