Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,221.91 / $4,771.00 / $9,539.00	Facility		$1,221.91	$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 $974.09 / $1,168.91 / $1,441.65	Professional		$974.09	$1,168.91	$1,441.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,214.39 / $1,486.03 / $2,234.08	Facility		$1,214.39	$1,486.03	$2,234.08
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $342.78 / $373.23 / $470.80	Facility	80	$342.78	$373.23	$470.80
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $239.94 / $261.26 / $329.56	Facility	AS	$239.94	$261.26	$329.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,101.27 / $1,457.95 / $4,462.00	Facility		$1,101.27	$1,457.95	$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