Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,388.44 / $8,912.51	Facility		$446.68	$3,388.44	$8,912.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,778.28 / $2,884.03 / $10,471.29	Facility	50	$1,778.28	$2,884.03	$10,471.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,302.69 / $17,782.79	Facility		$9,772.37	$12,302.69	$17,782.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $954.99	Professional		$309.03	$380.19	$954.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $954.99	Professional		$758.58	$870.96	$954.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $630.96 / $1,000.00	Facility		$371.54	$630.96	$1,000.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $645.65 / $10,000.00	Facility		$363.08	$645.65	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61