Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.52 / $5,087.00 / $8,920.00	Facility		$237.52	$5,087.00	$8,920.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,251.00 / $4,251.00 / $4,251.00	Facility	50	$4,251.00	$4,251.00	$4,251.00
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 $190.26 / $228.31 / $281.58	Professional		$190.26	$228.31	$281.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $227.11 / $289.10 / $434.66	Facility		$227.11	$289.10	$434.66
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $450.39 / $538.78 / $833.00	Facility	50	$450.39	$538.78	$833.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $228.52 / $301.22 / $5,122.00	Facility		$228.52	$301.22	$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