Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.00 / $4,196.00 / $8,920.00	Facility		$854.00	$4,196.00	$8,920.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,826.89 / $5,471.62 / $13,412.26	Facility	50	$2,826.89	$5,471.62	$13,412.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $643.65 / $772.38 / $952.60	Professional		$643.65	$772.38	$952.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $701.95 / $887.84 / $1,260.20	Facility		$701.95	$887.84	$1,260.20
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,227.83 / $1,535.78 / $2,050.21	Facility	50	$1,227.83	$1,535.78	$2,050.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $656.62 / $875.58 / $5,122.00	Facility		$656.62	$875.58	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00