Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.18 / $5,821.00 / $14,187.00	Facility		$1,235.18	$5,821.00	$14,187.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,151.50 / $9,380.00 / $23,834.28	Facility	50	$4,151.50	$9,380.00	$23,834.28
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 $1,042.32 / $1,250.78 / $1,542.63	Professional		$1,042.32	$1,250.78	$1,542.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,137.36 / $1,482.73 / $2,158.58	Facility		$1,137.36	$1,482.73	$2,158.58
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,062.16 / $2,504.17 / $3,287.08	Facility	50	$2,062.16	$2,504.17	$3,287.08
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $192.47 / $233.72 / $306.79	Facility	AS	$192.47	$233.72	$306.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,120.99 / $1,454.83 / $6,585.00	Facility		$1,120.99	$1,454.83	$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