Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,278.70 / $4,771.00 / $9,539.00	Facility		$1,278.70	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,162.00 / $17,132.29 / $23,861.81	Facility		$11,162.00	$17,132.29	$23,861.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,059.38 / $1,271.26 / $1,567.88	Professional		$1,059.38	$1,271.26	$1,567.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,222.09 / $1,569.32 / $2,242.38	Facility		$1,222.09	$1,569.32	$2,242.38
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $207.38 / $258.11 / $315.39	Facility	AS	$207.38	$258.11	$315.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,117.77 / $1,520.50 / $2,725.95	Facility		$1,117.77	$1,520.50	$2,725.95
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