Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.79 / $5,087.00 / $10,767.00	Facility		$453.79	$5,087.00	$10,767.00
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 $346.34 / $415.61 / $512.58	Professional		$346.34	$415.61	$512.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $390.75 / $514.66 / $767.41	Facility		$390.75	$514.66	$767.41
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $786.05 / $927.69 / $1,134.49	Facility	50	$786.05	$927.69	$1,134.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $392.10 / $506.75 / $4,071.00	Facility		$392.10	$506.75	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $13,741.00	Facility		$4,349.00	$7,061.00	$13,741.00