Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.10 / $5,412.00 / $11,425.00	Facility		$848.10	$5,412.00	$11,425.00
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 $707.42 / $848.90 / $1,046.98	Professional		$707.42	$848.90	$1,046.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $802.88 / $1,038.50 / $1,463.44	Facility		$802.88	$1,038.50	$1,463.44
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $200.15 / $233.61 / $305.02	Facility	80	$200.15	$233.61	$305.02
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $140.10 / $163.53 / $213.52	Facility	AS	$140.10	$163.53	$213.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $775.70 / $1,008.47 / $7,902.00	Facility		$775.70	$1,008.47	$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