Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.03 / $3,226.00 / $8,294.00	Facility		$104.03	$3,226.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.33 / $167.33 / $167.33	Facility		$167.33	$167.33	$167.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.81 / $146.96 / $173.11	Professional		$114.81	$146.96	$173.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.30 / $133.84 / $207.06	Facility		$99.30	$133.84	$207.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.42 / $124.89 / $522.91	Facility		$91.42	$124.89	$522.91
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $780.00 / $2,350.00	Facility		$231.00	$780.00	$2,350.00