Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.35 / $3,912.00 / $8,294.00	Facility		$492.35	$3,912.00	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,665.02 / $4,152.12 / $4,152.12	Facility	50	$3,665.02	$4,152.12	$4,152.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.63 / $509.56 / $616.65	Professional		$424.63	$509.56	$616.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $464.47 / $599.77 / $832.07	Facility		$464.47	$599.77	$832.07
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $900.48 / $1,006.10 / $1,307.94	Facility	50	$900.48	$1,006.10	$1,307.94
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $84.04 / $93.90 / $122.07	Facility	AS	$84.04	$93.90	$122.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $453.53 / $586.36 / $5,122.00	Facility		$453.53	$586.36	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00