Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.23 / $4,771.00 / $9,539.00	Facility		$570.23	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,289.00 / $4,699.53 / $6,545.49	Facility		$3,289.00	$4,699.53	$6,545.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.99 / $550.79 / $679.31	Professional		$458.99	$550.79	$679.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $512.84 / $699.83 / $987.84	Facility		$512.84	$699.83	$987.84
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $86.25 / $107.11 / $136.19	Facility	AS	$86.25	$107.11	$136.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $533.59 / $695.99 / $2,070.00	Facility		$533.59	$695.99	$2,070.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00