Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,630.27 / $8,511.38	Facility		$616.60	$2,630.27	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,023.29 / $1,778.28 / $12,302.69	Facility	50	$1,023.29	$1,778.28	$12,302.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $9,549.93 / $16,982.44	Facility		$5,754.40	$9,549.93	$16,982.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $2,137.96	Professional		$676.08	$851.14	$2,137.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,000.00 / $1,737.80	Professional		$537.03	$1,000.00	$1,737.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,096.48 / $1,778.28	Facility		$602.56	$1,096.48	$1,778.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,230.27 / $10,000.00	Facility		$478.63	$1,230.27	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,882.50 / $30,199.52	Facility		$6,760.83	$12,882.50	$30,199.52