Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,043.21 / $4,923.47 / $9,539.00	Facility		$2,043.21	$4,923.47	$9,539.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $408.64 / $408.64 / $984.69	Facility	53	$408.64	$408.64	$984.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,312.32 / $2,001.45 / $5,768.00	Facility		$1,312.32	$2,001.45	$5,768.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,649.26 / $1,979.11 / $2,440.90	Professional		$1,649.26	$1,979.11	$2,440.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,894.31 / $2,344.37 / $3,337.86	Facility		$1,894.31	$2,344.37	$3,337.86
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $580.01 / $624.91 / $719.69	Facility	80	$580.01	$624.91	$719.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,733.33 / $2,400.92 / $4,462.00	Facility		$1,733.33	$2,400.92	$4,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00