Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.12 / $3,484.00 / $8,294.00	Facility		$815.12	$3,484.00	$8,294.00
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 $572.00 / $572.00 / $1,060.80	Facility		$572.00	$572.00	$1,060.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.08 / $954.38 / $1,127.91	Professional		$742.08	$954.38	$1,127.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $688.99 / $920.49 / $1,410.91	Facility		$688.99	$920.49	$1,410.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $602.86 / $804.94 / $2,709.83	Facility		$602.86	$804.94	$2,709.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00