Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.01 / $8,920.00 / $18,862.00	Facility		$536.01	$8,920.00	$18,862.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,966.61 / $33,300.96 / $46,381.49	Facility		$14,966.61	$33,300.96	$46,381.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $399.83 / $479.80 / $591.75	Professional		$399.83	$479.80	$591.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $440.77 / $569.36 / $899.66	Facility		$440.77	$569.36	$899.66
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $138.41 / $153.84 / $179.93	Facility	80	$138.41	$153.84	$179.93
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $96.89 / $107.69 / $125.95	Facility	AS	$96.89	$107.69	$125.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $458.72 / $600.91 / $3,658.00	Facility		$458.72	$600.91	$3,658.00
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