Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,633.00 / $5,282.00 / $11,763.30	Facility		$3,633.00	$5,282.00	$11,763.30
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 $3,925.10 / $4,710.12 / $5,809.15	Professional		$3,925.10	$4,710.12	$5,809.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,360.93 / $5,550.53 / $7,980.50	Facility		$4,360.93	$5,550.53	$7,980.50
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $1,017.18 / $1,206.85 / $1,653.01	Facility	80	$1,017.18	$1,206.85	$1,653.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,621.28 / $5,239.52 / $9,807.18	Facility		$3,621.28	$5,239.52	$9,807.18
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