Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,073.35 / $4,771.00 / $9,539.00	Facility		$1,073.35	$4,771.00	$9,539.00
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 $864.95 / $1,037.94 / $1,280.13	Professional		$864.95	$1,037.94	$1,280.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,069.52 / $1,312.27 / $1,959.58	Facility		$1,069.52	$1,312.27	$1,959.58
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $277.56 / $303.80 / $377.97	Facility	80	$277.56	$303.80	$377.97
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $194.29 / $212.66 / $264.58	Facility	AS	$194.29	$212.66	$264.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $939.11 / $1,273.58 / $9,929.00	Facility		$939.11	$1,273.58	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00