Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.55 / $4,771.00 / $9,539.00	Facility		$886.55	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,162.00 / $17,132.29 / $23,861.81	Facility		$11,162.00	$17,132.29	$23,861.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $735.58 / $882.70 / $1,088.66	Professional		$735.58	$882.70	$1,088.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $849.91 / $1,088.03 / $1,560.48	Facility		$849.91	$1,088.03	$1,560.48
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $144.85 / $193.22 / $218.47	Facility	AS	$144.85	$193.22	$218.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $781.24 / $1,058.39 / $2,070.00	Facility		$781.24	$1,058.39	$2,070.00
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