Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,188.42 / $3,996.00 / $9,546.66	Facility		$1,188.42	$3,996.00	$9,546.66
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,805.50 / $5,926.48 / $15,906.58	Facility	50	$2,805.50	$5,926.48	$15,906.58
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 $1,110.56 / $1,332.67 / $1,643.63	Professional		$1,110.56	$1,332.67	$1,643.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,210.69 / $1,951.40 / $2,756.87	Facility		$1,210.69	$1,951.40	$2,756.87
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,859.69 / $3,070.03 / $4,481.85	Facility	50	$2,859.69	$3,070.03	$4,481.85
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $266.89 / $286.54 / $418.31	Facility	AS	$266.89	$286.54	$418.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,329.82 / $1,833.85 / $7,902.00	Facility		$1,329.82	$1,833.85	$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