Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.47 / $4,796.00 / $13,373.00	Facility		$1,288.47	$4,796.00	$13,373.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $9,527.62 / $13,270.04	Facility		$6,385.00	$9,527.62	$13,270.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,082.28 / $1,298.74 / $1,601.77	Professional		$1,082.28	$1,298.74	$1,601.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,200.57 / $1,522.74 / $2,177.61	Facility		$1,200.57	$1,522.74	$2,177.61
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $192.26 / $281.73 / $320.87	Facility	AS	$192.26	$281.73	$320.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,152.69 / $1,515.15 / $2,827.14	Facility		$1,152.69	$1,515.15	$2,827.14
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