Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.06 / $1,719.00 / $5,743.00	Facility		$65.06	$1,719.00	$5,743.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,204.02 / $3,204.02 / $3,204.02	Facility	50	$3,204.02	$3,204.02	$3,204.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.34 / $54.34 / $420.00	Facility		$54.34	$54.34	$420.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $174.24 / $205.92	Professional		$134.63	$174.24	$205.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.63 / $107.90 / $204.10	Facility		$35.63	$107.90	$204.10
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $111.10 / $214.50 / $484.60	Facility	50	$111.10	$214.50	$484.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.74 / $41.56 / $546.03	Facility		$30.74	$41.56	$546.03
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $819.00 / $2,364.00	Facility		$206.00	$819.00	$2,364.00