Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,495.41 / $10,000.00	Facility		$2,754.23	$5,495.41	$10,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $15,488.17	Facility		$9,772.37	$13,182.57	$15,488.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $3,311.31	Professional		$2,238.72	$2,818.38	$3,311.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,786.30 / $6,309.57	Professional		$3,801.89	$4,786.30	$6,309.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,630.78 / $5,623.41	Facility		$2,511.89	$3,630.78	$5,623.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,548.13 / $10,232.93	Facility		$2,570.40	$3,548.13	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $23,988.33	Facility		$6,456.54	$11,220.18	$23,988.33