Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,786.30 / $15,135.61	Facility		$1,819.70	$4,786.30	$15,135.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31,622.78 / $38,018.94 / $39,810.72	Facility		$31,622.78	$38,018.94	$39,810.72
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 $1,202.26 / $1,548.82 / $1,862.09	Professional		$1,202.26	$1,548.82	$1,862.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $3,019.95	Professional		$1,621.81	$2,041.74	$3,019.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,630.27	Facility		$1,230.27	$1,698.24	$2,630.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $10,000.00	Facility		$1,148.15	$1,584.89	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $26,302.68 / $41,686.94	Facility		$10,471.29	$26,302.68	$41,686.94