Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.43 / $4,879.20 / $9,250.00	Facility		$1,037.43	$4,879.20	$9,250.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,102.25 / $4,989.00 / $10,167.50	Facility	50	$2,102.25	$4,989.00	$10,167.50
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 $728.72 / $874.46 / $1,078.51	Professional		$728.72	$874.46	$1,078.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $811.70 / $1,187.97 / $1,694.79	Facility		$811.70	$1,187.97	$1,694.79
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,693.29 / $2,021.89 / $2,759.58	Facility	50	$1,693.29	$2,021.89	$2,759.58
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $158.04 / $188.71 / $257.56	Facility	AS	$158.04	$188.71	$257.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $847.22 / $1,144.91 / $7,902.00	Facility		$847.22	$1,144.91	$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