Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.81 / $3,226.00 / $8,611.61	Facility		$109.81	$3,226.00	$8,611.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.46 / $109.75 / $135.36	Professional		$91.46	$109.75	$135.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $134.77 / $289.05	Facility		$103.54	$134.77	$289.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.05 / $131.55 / $3,512.00	Facility		$100.05	$131.55	$3,512.00
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