Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.49 / $2,174.85 / $8,294.00	Facility		$95.49	$2,174.85	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $783.09 / $783.09 / $994.68	Facility	50	$783.09	$783.09	$994.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $500.67 / $600.79 / $748.89	Professional		$500.67	$600.79	$748.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.49 / $542.64 / $1,009.74	Facility		$95.49	$542.64	$1,009.74
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $221.25 / $1,357.13 / $1,514.60	Facility	50	$221.25	$1,357.13	$1,514.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $127.28 / $2,039.00	Facility		$92.98	$127.28	$2,039.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,606.81 / $5,889.00	Facility		$1,911.00	$3,606.81	$5,889.00