Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.66 / $8,294.00 / $17,390.00	Facility		$573.66	$8,294.00	$17,390.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40,096.00 / $47,452.00 / $53,038.00	Facility		$40,096.00	$47,452.00	$53,038.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.04 / $505.25 / $623.14	Professional		$421.04	$505.25	$623.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $486.94 / $629.46 / $938.61	Facility		$486.94	$629.46	$938.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $445.59 / $609.19 / $16,786.00	Facility		$445.59	$609.19	$16,786.00
United Facility/Professional Facility Modifier Low / Median / High Price $12,301.00 / $22,621.00 / $47,239.00	Facility		$12,301.00	$22,621.00	$47,239.00