Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $3,021.00 / $13,484.00	Facility		$278.10	$3,021.00	$13,484.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $138.86 / $406.64 / $825.13	Facility	52	$138.86	$406.64	$825.13
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 $983.74 / $1,413.08 / $1,742.80	Professional		$983.74	$1,413.08	$1,742.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $1,124.35 / $1,900.17	Facility		$278.10	$1,124.35	$1,900.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $262.64 / $344.07 / $4,071.00	Facility		$262.64	$344.07	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00