Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,181.96 / $5,263.40 / $9,539.00	Facility		$2,181.96	$5,263.40	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,776.22 / $2,131.46 / $2,628.81	Professional		$1,776.22	$2,131.46	$2,628.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,125.21 / $2,677.86 / $3,924.00	Facility		$2,125.21	$2,677.86	$3,924.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $600.04 / $673.99 / $809.13	Facility	80	$600.04	$673.99	$809.13
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $420.03 / $471.80 / $566.39	Facility	AS	$420.03	$471.80	$566.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,777.57 / $2,444.08 / $4,622.59	Facility		$1,777.57	$2,444.08	$4,622.59
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