Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.70 / $4,771.00 / $9,539.00	Facility		$289.70	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,312.32 / $2,001.45 / $5,768.00	Facility		$1,312.32	$2,001.45	$5,768.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.26 / $203.11 / $250.50	Professional		$169.26	$203.11	$250.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $226.04 / $342.38 / $489.59	Facility		$226.04	$342.38	$489.59
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $64.61 / $79.87 / $102.08	Facility	80	$64.61	$79.87	$102.08
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $45.23 / $55.91 / $71.45	Facility	AS	$45.23	$55.91	$71.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $211.59 / $343.36 / $3,658.00	Facility		$211.59	$343.36	$3,658.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,295.00 / $5,790.00	Facility		$1,713.00	$3,295.00	$5,790.00