Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.59 / $4,786.79 / $9,539.00	Facility		$1,628.59	$4,786.79	$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 $1,345.15 / $1,614.18 / $1,990.82	Professional		$1,345.15	$1,614.18	$1,990.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,494.33 / $1,921.86 / $2,691.73	Facility		$1,494.33	$1,921.86	$2,691.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,400.58 / $1,888.04 / $3,525.16	Facility		$1,400.58	$1,888.04	$3,525.16
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