Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.34 / $1,947.00 / $7,275.00	Facility		$179.34	$1,947.00	$7,275.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,597.46 / $3,597.46 / $7,681.20	Facility	50	$3,597.46	$3,597.46	$7,681.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.58 / $173.50 / $232.50	Professional		$144.58	$173.50	$232.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.21 / $216.44 / $299.48	Facility		$176.21	$216.44	$299.48
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $340.01 / $392.74 / $474.43	Facility	50	$340.01	$392.74	$474.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $166.50 / $219.26 / $1,171.00	Facility		$166.50	$219.26	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00