Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $4,897.79 / $8,912.51	Facility		$524.81	$4,897.79	$8,912.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility	50	$3,388.44	$3,388.44	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $537.03	Professional		$363.08	$436.52	$537.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $588.84 / $912.01	Facility		$426.58	$588.84	$912.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $602.56 / $8,709.64	Facility		$426.58	$602.56	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,244.36 / $14,125.38	Facility		$3,801.89	$7,244.36	$14,125.38