Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.47 / $5,412.00 / $11,025.00	Facility		$565.47	$5,412.00	$11,025.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,312.72 / $6,381.27 / $16,153.50	Facility	50	$1,312.72	$6,381.27	$16,153.50
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 $470.50 / $564.60 / $668.70	Professional		$470.50	$564.60	$668.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $538.24 / $679.24 / $991.79	Facility		$538.24	$679.24	$991.79
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,018.86 / $1,161.19 / $1,518.16	Facility	50	$1,018.86	$1,161.19	$1,518.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $513.59 / $672.40 / $5,122.00	Facility		$513.59	$672.40	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00