Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.33 / $4,771.00 / $9,539.00	Facility		$449.33	$4,771.00	$9,539.00
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 $413.66 / $496.39 / $612.22	Professional		$413.66	$496.39	$612.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $406.96 / $507.74 / $736.41	Facility		$406.96	$507.74	$736.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $371.08 / $483.92 / $3,512.00	Facility		$371.08	$483.92	$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