Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,702.36 / $5,048.00 / $9,539.00	Facility		$2,702.36	$5,048.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,231.48 / $2,677.78 / $3,305.20	Professional		$2,231.48	$2,677.78	$3,305.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,473.79 / $3,116.67 / $4,414.67	Facility		$2,473.79	$3,116.67	$4,414.67
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $395.72 / $471.85 / $646.78	Facility	AS	$395.72	$471.85	$646.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,014.49 / $3,044.75 / $5,578.54	Facility		$2,014.49	$3,044.75	$5,578.54
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