Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.09 / $5,587.00 / $11,425.00	Facility		$534.09	$5,587.00	$11,425.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $551.26 / $841.42 / $20,695.29	Facility	50	$551.26	$841.42	$20,695.29
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 $444.22 / $533.05 / $631.60	Professional		$444.22	$533.05	$631.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $507.44 / $641.02 / $935.14	Facility		$507.44	$641.02	$935.14
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $961.53 / $1,095.89 / $1,433.39	Facility	50	$961.53	$1,095.89	$1,433.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $483.99 / $635.10 / $5,122.00	Facility		$483.99	$635.10	$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