Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.39 / $4,691.00 / $8,920.00	Facility		$743.39	$4,691.00	$8,920.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,493.94 / $4,630.22 / $10,347.65	Facility	50	$3,493.94	$4,630.22	$10,347.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $106.40 / $106.40 / $664.04	Professional	50	$106.40	$106.40	$664.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $580.84 / $742.77 / $1,018.70	Professional	50	$580.84	$742.77	$1,018.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $396.82 / $476.18 / $587.29	Professional		$396.82	$476.18	$587.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $431.19 / $529.19 / $742.73	Facility		$431.19	$529.19	$742.73
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $569.78 / $856.85 / $1,145.04	Facility	50	$569.78	$856.85	$1,145.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $341.04 / $512.74 / $3,512.00	Facility		$341.04	$512.74	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00