Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,630.78 / $8,912.51	Facility		$954.99	$3,630.78	$8,912.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,089.30 / $4,570.88 / $9,772.37	Facility	50	$2,089.30	$4,570.88	$9,772.37
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 / $831.76 / $2,137.96	Professional		$676.08	$831.76	$2,137.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,737.80	Professional		$1,122.02	$1,412.54	$1,737.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,819.70	Facility		$776.25	$1,202.26	$1,819.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,148.15 / $10,964.78	Facility		$776.25	$1,148.15	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $14,454.40 / $36,307.81	Facility		$8,317.64	$14,454.40	$36,307.81