Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,568.75 / $5,048.00 / $12,519.40	Facility		$1,568.75	$5,048.00	$12,519.40
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 $1,311.41 / $1,573.69 / $1,945.54	Professional		$1,311.41	$1,573.69	$1,945.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,457.94 / $1,853.97 / $2,657.40	Facility		$1,457.94	$1,853.97	$2,657.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,373.28 / $1,791.68 / $3,449.75	Facility		$1,373.28	$1,791.68	$3,449.75
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