Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.88 / $3,645.00 / $8,294.00	Facility		$949.88	$3,645.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $621.95	Facility		$572.00	$572.00	$621.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.57 / $672.18 / $794.39	Professional		$524.57	$672.18	$794.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $536.72 / $712.46 / $1,045.33	Facility		$536.72	$712.46	$1,045.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $523.87 / $694.80 / $1,683.00	Facility		$523.87	$694.80	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00