Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.78 / $5,360.00 / $9,918.00	Facility		$723.78	$5,360.00	$9,918.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,475.25 / $4,475.25 / $4,475.25	Facility	50	$4,475.25	$4,475.25	$4,475.25
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 $579.76 / $695.71 / $858.04	Professional		$579.76	$695.71	$858.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $688.95 / $845.53 / $1,260.78	Facility		$688.95	$845.53	$1,260.78
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,254.50 / $1,616.94 / $1,854.06	Facility	50	$1,254.50	$1,616.94	$1,854.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $630.20 / $829.07 / $3,512.00	Facility		$630.20	$829.07	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,524.00 / $5,979.00 / $13,217.00	Facility		$3,524.00	$5,979.00	$13,217.00