Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.56 / $2,561.00 / $8,294.00	Facility		$916.56	$2,561.00	$8,294.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $429.03 / $458.28 / $1,090.63	Facility	52	$429.03	$458.28	$1,090.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,524.00 / $22,312.00 / $37,718.00	Facility		$12,524.00	$22,312.00	$37,718.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.79 / $920.15 / $1,134.84	Professional		$766.79	$920.15	$1,134.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $870.54 / $1,124.85 / $1,570.23	Facility		$870.54	$1,124.85	$1,570.23
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $221.32 / $255.96 / $329.93	Facility	80	$221.32	$255.96	$329.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $797.24 / $1,089.88 / $9,929.00	Facility		$797.24	$1,089.88	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $13,091.00 / $26,218.00 / $64,092.00	Facility		$13,091.00	$26,218.00	$64,092.00