Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.45 / $4,771.00 / $9,539.00	Facility		$204.45	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.94 / $200.33 / $247.07	Professional		$166.94	$200.33	$247.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $191.85 / $242.96 / $341.18	Facility		$191.85	$242.96	$341.18
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $46.29 / $53.53 / $72.18	Facility	80	$46.29	$53.53	$72.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $175.73 / $236.00 / $1,621.00	Facility		$175.73	$236.00	$1,621.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.00 / $3,295.00 / $5,790.00	Facility		$1,621.00	$3,295.00	$5,790.00