Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $968.05 / $6,827.70 / $14,796.00	Facility		$968.05	$6,827.70	$14,796.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,547.55 / $8,117.00 / $14,329.77	Facility	50	$4,547.55	$8,117.00	$14,329.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $617.90 / $741.48 / $914.49	Professional		$617.90	$741.48	$914.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $614.54 / $874.24 / $1,274.21	Facility		$614.54	$874.24	$1,274.21
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,231.74 / $1,750.59 / $2,006.25	Facility	50	$1,231.74	$1,750.59	$2,006.25
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $164.23 / $233.41 / $267.50	Facility	80	$164.23	$233.41	$267.50
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $114.96 / $163.38 / $187.25	Facility	AS	$114.96	$163.38	$187.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $662.66 / $859.12 / $7,902.00	Facility		$662.66	$859.12	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00