Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.16 / $4,898.00 / $9,347.59	Facility		$579.16	$4,898.00	$9,347.59
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,345.92 / $6,129.62 / $6,987.00	Facility	50	$3,345.92	$6,129.62	$6,987.00
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.18 / $505.18 / $505.18	Facility		$505.18	$505.18	$505.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $422.74 / $497.34 / $639.54	Professional		$422.74	$497.34	$639.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $497.34 / $749.51 / $1,224.42	Facility		$497.34	$749.51	$1,224.42
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $963.52 / $1,194.76 / $2,839.77	Facility	50	$963.52	$1,194.76	$2,839.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $502.37 / $782.24 / $7,420.00	Facility		$502.37	$782.24	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00