Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $933.25 / $5,888.44	Facility		$199.53	$933.25	$5,888.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $457.09 / $933.25 / $2,570.40	Facility	50	$457.09	$933.25	$2,570.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $407.38 / $1,023.29	Professional	50	$173.78	$407.38	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $354.81 / $630.96	Professional	50	$190.55	$354.81	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $389.05	Professional		$263.03	$316.23	$389.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $263.03 / $467.74	Facility		$131.83	$263.03	$467.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $151.36 / $1,174.90	Facility		$112.20	$151.36	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,148.15 / $2,398.83	Facility		$229.09	$1,148.15	$2,398.83