Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,576.11 / $4,796.00 / $9,918.00	Facility		$1,576.11	$4,796.00	$9,918.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,162.00 / $17,132.29 / $23,861.81	Facility		$11,162.00	$17,132.29	$23,861.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.97 / $1,546.76 / $1,907.68	Professional		$1,288.97	$1,546.76	$1,907.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,519.70 / $1,882.65 / $2,773.53	Facility		$1,519.70	$1,882.65	$2,773.53
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $366.07 / $482.57 / $795.00	Facility	80	$366.07	$482.57	$795.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $256.25 / $337.80 / $556.50	Facility	AS	$256.25	$337.80	$556.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,303.88 / $1,806.31 / $3,351.17	Facility		$1,303.88	$1,806.31	$3,351.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,708.72 / $3,295.00 / $5,790.00	Facility		$1,708.72	$3,295.00	$5,790.00