Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.06 / $4,771.00 / $9,347.59	Facility		$882.06	$4,771.00	$9,347.59
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,474.50 / $3,720.04 / $12,445.37	Facility	50	$1,474.50	$3,720.04	$12,445.37
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 $682.25 / $818.70 / $1,009.73	Professional		$682.25	$818.70	$1,009.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $749.75 / $1,032.60 / $1,440.96	Facility		$749.75	$1,032.60	$1,440.96
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,436.25 / $1,894.05 / $2,344.67	Facility	50	$1,436.25	$1,894.05	$2,344.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $729.71 / $991.58 / $5,122.00	Facility		$729.71	$991.58	$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