Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.10 / $5,967.00 / $11,637.18	Facility		$728.10	$5,967.00	$11,637.18
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,442.25 / $10,442.25 / $10,442.25	Facility	50	$10,442.25	$10,442.25	$10,442.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.99 / $440.39 / $543.15	Professional		$366.99	$440.39	$543.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $413.82 / $545.99 / $814.13	Facility		$413.82	$545.99	$814.13
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $875.37 / $1,033.53 / $2,407.50	Facility	50	$875.37	$1,033.53	$2,407.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $416.06 / $545.02 / $6,585.00	Facility		$416.06	$545.02	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00