Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.18 / $2,840.00 / $6,827.70	Facility		$207.18	$2,840.00	$6,827.70
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $454.14 / $932.00 / $2,571.50	Facility	50	$454.14	$932.00	$2,571.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $186.96 / $338.24 / $2,725.80	Professional	50	$186.96	$338.24	$2,725.80
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $176.84 / $335.59 / $536.48	Professional	50	$176.84	$335.59	$536.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $205.09	Facility		$205.09	$205.09	$205.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.42 / $276.50 / $338.85	Professional		$230.42	$276.50	$338.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.85 / $281.30 / $460.89	Facility		$138.85	$281.30	$460.89
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $334.65 / $495.56 / $967.00	Facility	50	$334.65	$495.56	$967.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $118.02 / $160.97 / $284.73	Facility		$118.02	$160.97	$284.73
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00