Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.02 / $6,386.59 / $11,425.00	Facility		$523.02	$6,386.59	$11,425.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $637.04 / $1,524.45 / $14,998.80	Facility	50	$637.04	$1,524.45	$14,998.80
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 $419.78 / $503.74 / $596.71	Professional		$419.78	$503.74	$596.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $479.57 / $604.79 / $883.92	Facility		$479.57	$604.79	$883.92
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $907.19 / $1,034.06 / $1,353.55	Facility	50	$907.19	$1,034.06	$1,353.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $457.24 / $599.71 / $5,122.00	Facility		$457.24	$599.71	$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