Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.54 / $4,771.00 / $9,347.59	Facility		$541.54	$4,771.00	$9,347.59
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,272.81 / $3,272.81 / $3,272.81	Facility	50	$3,272.81	$3,272.81	$3,272.81
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 $437.56 / $525.07 / $647.59	Professional		$437.56	$525.07	$647.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $509.47 / $604.97 / $900.52	Facility		$509.47	$604.97	$900.52
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $818.46 / $983.14 / $1,350.77	Facility	50	$818.46	$983.14	$1,350.77
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $76.39 / $91.76 / $126.07	Facility	AS	$76.39	$91.76	$126.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $438.89 / $583.27 / $3,512.00	Facility		$438.89	$583.27	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,524.00 / $5,979.00 / $13,217.00	Facility		$3,524.00	$5,979.00	$13,217.00