Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.14 / $4,796.00 / $11,425.00	Facility		$769.14	$4,796.00	$11,425.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $663.03 / $795.64 / $981.28	Professional		$663.03	$795.64	$981.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $653.77 / $926.03 / $1,256.50	Facility		$653.77	$926.03	$1,256.50
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $176.72 / $208.98 / $276.27	Facility	80	$176.72	$208.98	$276.27
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $123.70 / $146.29 / $193.39	Facility	AS	$123.70	$146.29	$193.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $698.02 / $914.58 / $6,585.00	Facility		$698.02	$914.58	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00