Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.41 / $2,561.00 / $8,900.00	Facility		$660.41	$2,561.00	$8,900.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,171.58 / $1,171.58 / $1,828.50	Facility	50	$1,171.58	$1,171.58	$1,828.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $618.09 / $741.71 / $914.77	Professional		$618.09	$741.71	$914.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $660.41 / $848.51 / $1,201.11	Facility		$660.41	$848.51	$1,201.11
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,086.58 / $1,409.83 / $1,888.26	Facility	50	$1,086.58	$1,409.83	$1,888.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $587.96 / $829.74 / $5,122.00	Facility		$587.96	$829.74	$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