Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,178.33 / $4,390.00 / $9,751.50	Facility		$1,178.33	$4,390.00	$9,751.50
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 $975.81 / $1,170.97 / $1,444.20	Professional		$975.81	$1,170.97	$1,444.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,083.88 / $1,391.62 / $1,983.50	Facility		$1,083.88	$1,391.62	$1,983.50
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $250.42 / $365.44 / $405.50	Facility	80	$250.42	$365.44	$405.50
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $175.29 / $255.81 / $283.85	Facility	AS	$175.29	$255.81	$283.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,046.79 / $1,376.07 / $2,589.89	Facility		$1,046.79	$1,376.07	$2,589.89
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