Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.00 / $4,007.00 / $8,920.00	Facility		$987.00	$4,007.00	$8,920.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,875.50 / $4,972.50 / $10,769.00	Facility	50	$2,875.50	$4,972.50	$10,769.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $772.57 / $927.08 / $1,143.40	Professional		$772.57	$927.08	$1,143.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $824.14 / $1,041.48 / $1,470.93	Facility		$824.14	$1,041.48	$1,470.93
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,412.82 / $1,730.57 / $2,313.85	Facility	50	$1,412.82	$1,730.57	$2,313.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $773.67 / $1,023.37 / $6,585.00	Facility		$773.67	$1,023.37	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00