Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.57 / $5,091.00 / $9,620.00	Facility		$483.57	$5,091.00	$9,620.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,767.88 / $10,767.88 / $10,767.88	Facility	50	$10,767.88	$10,767.88	$10,767.88
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 $266.37 / $319.64 / $394.23	Professional		$266.37	$319.64	$394.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $300.79 / $395.25 / $589.37	Facility		$300.79	$395.25	$589.37
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $598.77 / $722.25 / $871.04	Facility	50	$598.77	$722.25	$871.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $302.32 / $392.56 / $4,071.00	Facility		$302.32	$392.56	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00