Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.91 / $5,412.00 / $21,077.00	Facility		$721.91	$5,412.00	$21,077.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,423.50 / $9,136.75 / $22,455.05	Facility	50	$7,423.50	$9,136.75	$22,455.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,248.00 / $9,559.00 / $15,600.00	Facility		$4,248.00	$9,559.00	$15,600.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $590.41 / $708.49 / $873.81	Professional		$590.41	$708.49	$873.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $643.71 / $853.16 / $1,210.46	Facility		$643.71	$853.16	$1,210.46
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,180.50 / $1,447.10 / $1,920.39	Facility	50	$1,180.50	$1,447.10	$1,920.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $622.35 / $823.21 / $7,902.00	Facility		$622.35	$823.21	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $34,314.00	Facility		$8,367.00	$13,296.00	$34,314.00