Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.06 / $5,282.00 / $14,796.00	Facility		$1,267.06	$5,282.00	$14,796.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,480.37 / $9,394.00 / $12,872.86	Facility		$6,480.37	$9,394.00	$12,872.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,014.82 / $1,217.78 / $1,501.93	Professional		$1,014.82	$1,217.78	$1,501.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,262.54 / $1,524.20 / $2,141.33	Facility		$1,262.54	$1,524.20	$2,141.33
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,645.02 / $2,917.17 / $3,346.23	Facility	50	$2,645.02	$2,917.17	$3,346.23
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $352.67 / $388.96 / $446.16	Facility	80	$352.67	$388.96	$446.16
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $246.87 / $272.27 / $312.31	Facility	AS	$246.87	$272.27	$312.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,140.34 / $1,477.36 / $4,462.00	Facility		$1,140.34	$1,477.36	$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