Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.23 / $5,360.00 / $9,975.00	Facility		$979.23	$5,360.00	$9,975.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,266.00 / $8,669.00 / $11,373.00	Facility		$6,266.00	$8,669.00	$11,373.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.33 / $869.20 / $1,072.01	Professional		$724.33	$869.20	$1,072.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $814.15 / $1,029.45 / $1,580.47	Facility		$814.15	$1,029.45	$1,580.47
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $176.16 / $193.10 / $222.60	Facility	AS	$176.16	$193.10	$222.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $684.48 / $1,031.96 / $9,929.00	Facility		$684.48	$1,031.96	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00