Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.53 / $6,146.00 / $14,867.45	Facility		$756.53	$6,146.00	$14,867.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,840.00 / $14,495.61 / $20,189.45	Facility		$6,840.00	$14,495.61	$20,189.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.21 / $792.25 / $977.11	Professional		$660.21	$792.25	$977.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $755.02 / $928.46 / $1,345.09	Facility		$755.02	$928.46	$1,345.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $701.36 / $899.59 / $5,122.00	Facility		$701.36	$899.59	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00