Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,209.23 / $4,771.00 / $9,539.00	Facility		$2,209.23	$4,771.00	$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 $1,768.15 / $2,121.78 / $2,616.86	Professional		$1,768.15	$2,121.78	$2,616.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,145.56 / $2,682.26 / $4,042.91	Facility		$2,145.56	$2,682.26	$4,042.91
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $676.30 / $736.19 / $829.68	Facility	80	$676.30	$736.19	$829.68
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $473.41 / $515.33 / $580.77	Facility	AS	$473.41	$515.33	$580.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,827.65 / $2,637.50 / $5,095.35	Facility		$1,827.65	$2,637.50	$5,095.35
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