Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,246.41 / $4,771.00 / $9,539.00	Facility		$1,246.41	$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 $993.97 / $1,192.76 / $1,471.08	Professional		$993.97	$1,192.76	$1,471.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,241.30 / $1,518.81 / $2,259.55	Facility		$1,241.30	$1,518.81	$2,259.55
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $349.43 / $370.86 / $438.88	Facility	80	$349.43	$370.86	$438.88
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $244.60 / $259.60 / $307.20	Facility	AS	$244.60	$259.60	$307.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,123.89 / $1,482.09 / $4,462.00	Facility		$1,123.89	$1,482.09	$4,462.00
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