Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.75 / $4,703.00 / $8,294.00	Facility		$379.75	$4,703.00	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,287.63 / $6,287.63 / $8,715.00	Facility	50	$6,287.63	$6,287.63	$8,715.00
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 $314.52 / $377.42 / $465.49	Professional		$314.52	$377.42	$465.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $369.74 / $454.44 / $677.61	Facility		$369.74	$454.44	$677.61
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $657.77 / $871.48 / $994.87	Facility	50	$657.77	$871.48	$994.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $335.82 / $440.29 / $5,122.00	Facility		$335.82	$440.29	$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