Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,177.35 / $5,282.00 / $11,024.00	Facility		$1,177.35	$5,282.00	$11,024.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,263.47 / $1,528.53	Professional		$1,052.89	$1,263.47	$1,528.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,177.35 / $1,444.93 / $2,018.52	Facility		$1,177.35	$1,444.93	$2,018.52
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,137.23 / $2,403.29 / $3,141.28	Facility	50	$2,137.23	$2,403.29	$3,141.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,107.29 / $1,430.30 / $6,585.00	Facility		$1,107.29	$1,430.30	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00