Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.54 / $6,337.00 / $17,390.00	Facility		$637.54	$6,337.00	$17,390.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $117.13 / $117.13 / $281.99	Facility	53	$117.13	$117.13	$281.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40,096.00 / $47,452.00 / $53,038.00	Facility		$40,096.00	$47,452.00	$53,038.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $469.01 / $562.80 / $694.13	Professional		$469.01	$562.80	$694.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $540.16 / $706.95 / $993.91	Facility		$540.16	$706.95	$993.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $496.89 / $674.38 / $20,487.00	Facility		$496.89	$674.38	$20,487.00
United Facility/Professional Facility Modifier Low / Median / High Price $13,091.00 / $25,331.00 / $64,572.00	Facility		$13,091.00	$25,331.00	$64,572.00