Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $4,677.35 / $12,302.69	Facility		$660.69	$4,677.35	$12,302.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,890.45 / $7,943.28 / $20,892.96	Facility	50	$3,890.45	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $512.86 / $1,202.26 / $8,317.64	Professional	50	$512.86	$1,202.26	$8,317.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $575.44 / $2,238.72 / $5,248.07	Professional	50	$575.44	$2,238.72	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,818.38 / $3,388.44	Professional		$2,290.87	$2,818.38	$3,388.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,621.81 / $3,890.45	Facility		$407.38	$1,621.81	$3,890.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $467.74 / $10,000.00	Facility		$338.84	$467.74	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,882.50 / $29,512.09	Facility		$7,413.10	$12,882.50	$29,512.09