Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,164.90 / $4,771.00 / $9,539.00	Facility		$1,164.90	$4,771.00	$9,539.00
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 $934.98 / $1,121.98 / $1,383.77	Professional		$934.98	$1,121.98	$1,383.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,160.68 / $1,428.85 / $2,121.67	Facility		$1,160.68	$1,428.85	$2,121.67
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,466.29 / $2,680.05 / $3,619.28	Facility	50	$2,466.29	$2,680.05	$3,619.28
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $328.84 / $357.34 / $482.57	Facility	80	$328.84	$357.34	$482.57
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $230.19 / $250.14 / $337.80	Facility	AS	$230.19	$250.14	$337.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,046.89 / $1,382.59 / $4,462.00	Facility		$1,046.89	$1,382.59	$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