Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.92 / $5,360.00 / $9,539.00	Facility		$991.92	$5,360.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $835.29 / $1,002.35 / $1,236.23	Professional		$835.29	$1,002.35	$1,236.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $1,164.46 / $1,668.96	Facility		$912.00	$1,164.46	$1,668.96
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $128.68 / $177.39 / $243.90	Facility	AS	$128.68	$177.39	$243.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $833.49 / $1,123.36 / $7,902.00	Facility		$833.49	$1,123.36	$7,902.00
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