Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.11 / $5,360.00 / $9,918.00	Facility		$424.11	$5,360.00	$9,918.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,951.02 / $10,951.02 / $10,951.02	Facility	50	$10,951.02	$10,951.02	$10,951.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $340.12 / $408.14 / $503.38	Professional		$340.12	$408.14	$503.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $388.26 / $480.81 / $716.75	Facility		$388.26	$480.81	$716.75
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $707.79 / $929.74 / $1,091.47	Facility	50	$707.79	$929.74	$1,091.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $370.84 / $483.77 / $3,512.00	Facility		$370.84	$483.77	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,145.00 / $13,521.00	Facility		$3,651.00	$6,145.00	$13,521.00