Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,281.67 / $5,048.00 / $9,539.00	Facility		$2,281.67	$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 $1,893.33 / $2,272.00 / $2,805.29	Professional		$1,893.33	$2,272.00	$2,805.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,108.23 / $2,696.53 / $3,839.27	Facility		$2,108.23	$2,696.53	$3,839.27
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $482.68 / $708.09 / $794.58	Facility	80	$482.68	$708.09	$794.58
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $337.87 / $495.66 / $556.21	Facility	AS	$337.87	$495.66	$556.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,928.00 / $2,536.10 / $4,768.60	Facility		$1,928.00	$2,536.10	$4,768.60
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