Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.27 / $5,087.00 / $10,767.00	Facility		$816.27	$5,087.00	$10,767.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,668.25 / $7,666.78 / $16,865.05	Facility	50	$3,668.25	$7,666.78	$16,865.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $595.32 / $1,234.10 / $5,140.00	Professional	50	$595.32	$1,234.10	$5,140.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $539.94 / $2,273.09 / $4,515.92	Professional	50	$539.94	$2,273.09	$4,515.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.15 / $626.15 / $626.15	Facility		$626.15	$626.15	$626.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,952.42 / $2,342.91 / $2,871.21	Professional		$1,952.42	$2,342.91	$2,871.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $426.49 / $2,120.28 / $3,628.70	Facility		$426.49	$2,120.28	$3,628.70
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,132.35 / $3,355.79 / $7,190.96	Facility	50	$1,132.35	$3,355.79	$7,190.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $364.80 / $493.04 / $1,536.48	Facility		$364.80	$493.04	$1,536.48
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,397.00 / $26,537.00	Facility		$8,367.00	$13,397.00	$26,537.00