Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.81 / $4,179.00 / $8,294.00	Facility		$478.81	$4,179.00	$8,294.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $562.49 / $562.49 / $562.49	Professional	50	$562.49	$562.49	$562.49
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
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $570.75 / $737.99 / $1,058.08	Professional	50	$570.75	$737.99	$1,058.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $658.66 / $658.66 / $658.66	Facility		$658.66	$658.66	$658.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $481.97 / $537.10 / $639.40	Professional		$481.97	$537.10	$639.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $370.35 / $493.17 / $704.38	Facility		$370.35	$493.17	$704.38
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $561.16 / $650.28 / $775.62	Facility	50	$561.16	$650.28	$775.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $386.33 / $509.92 / $3,123.00	Facility		$386.33	$509.92	$3,123.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00