Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,480.92 / $5,048.00 / $9,539.00	Facility		$2,480.92	$5,048.00	$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 $2,021.00 / $2,425.19 / $2,991.08	Professional		$2,021.00	$2,425.19	$2,991.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,415.66 / $3,044.78 / $4,540.10	Facility		$2,415.66	$3,044.78	$4,540.10
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $681.08 / $873.78 / $1,571.20	Facility	80	$681.08	$873.78	$1,571.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $476.75 / $611.65 / $1,099.83	Facility	AS	$476.75	$611.65	$1,099.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,962.19 / $2,781.09 / $5,252.94	Facility		$1,962.19	$2,781.09	$5,252.94
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