Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.01 / $3,428.50 / $9,299.87	Facility		$763.01	$3,428.50	$9,299.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $927.00 / $1,254.25 / $5,245.02	Facility	50	$927.00	$1,254.25	$5,245.02
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 $725.85 / $871.02 / $1,074.26	Professional		$725.85	$871.02	$1,074.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $617.10 / $1,118.14 / $1,777.84	Facility		$617.10	$1,118.14	$1,777.84
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,068.93 / $1,942.87 / $2,972.77	Facility	50	$1,068.93	$1,942.87	$2,972.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $492.36 / $1,167.48 / $6,585.00	Facility		$492.36	$1,167.48	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $29,685.00	Facility		$6,693.00	$11,671.00	$29,685.00