Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.24 / $8,708.00 / $18,862.00	Facility		$967.24	$8,708.00	$18,862.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $448.63 / $448.63 / $1,080.60	Facility	52	$448.63	$448.63	$1,080.60
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $179.45 / $179.45 / $432.24	Facility	53	$179.45	$179.45	$432.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $712.82 / $855.38 / $1,054.97	Professional		$712.82	$855.38	$1,054.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $818.23 / $1,060.40 / $1,465.79	Facility		$818.23	$1,060.40	$1,465.79
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $247.52 / $273.08 / $315.81	Facility	80	$247.52	$273.08	$315.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $814.41 / $1,067.94 / $3,728.12	Facility		$814.41	$1,067.94	$3,728.12
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00