Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $4,365.16 / $8,317.64	Facility		$275.42	$4,365.16	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility	50	$3,981.07	$3,981.07	$3,981.07
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 $190.55 / $234.42 / $588.84	Professional		$190.55	$234.42	$588.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $537.03	Professional		$398.11	$501.19	$537.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $346.74 / $575.44	Facility		$229.09	$346.74	$575.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $346.74 / $10,000.00	Facility		$223.87	$346.74	$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