Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.27 / $4,691.00 / $8,953.82	Facility		$212.27	$4,691.00	$8,953.82
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,912.16 / $3,771.50 / $8,715.00	Facility	50	$1,912.16	$3,771.50	$8,715.00
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 $171.09 / $205.31 / $253.21	Professional		$171.09	$205.31	$253.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $203.23 / $250.01 / $388.45	Facility		$203.23	$250.01	$388.45
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $382.92 / $480.86 / $1,701.30	Facility	50	$382.92	$480.86	$1,701.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $196.01 / $259.31 / $3,512.00	Facility		$196.01	$259.31	$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