Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.55 / $4,796.00 / $9,347.59	Facility		$866.55	$4,796.00	$9,347.59
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,457.95 / $3,457.95 / $5,631.00	Facility	50	$3,457.95	$3,457.95	$5,631.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.34 / $907.61 / $1,119.38	Professional		$756.34	$907.61	$1,119.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $811.83 / $1,041.68 / $1,466.57	Facility		$811.83	$1,041.68	$1,466.57
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,422.42 / $1,778.34 / $2,302.46	Facility	50	$1,422.42	$1,778.34	$2,302.46
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $132.76 / $165.98 / $214.90	Facility	AS	$132.76	$165.98	$214.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $765.65 / $1,017.65 / $5,122.00	Facility		$765.65	$1,017.65	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00