Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,623.41 / $10,964.78	Facility		$758.58	$5,623.41	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $30,199.52 / $30,199.52	Facility		$26,915.35	$30,199.52	$30,199.52
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 $616.60 / $776.25 / $912.01	Professional		$616.60	$776.25	$912.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,584.89	Professional		$933.25	$1,148.15	$1,584.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $891.25 / $1,380.38	Facility		$630.96	$891.25	$1,380.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $891.25 / $10,000.00	Facility		$616.60	$891.25	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $18,197.01 / $40,738.03	Facility		$10,471.29	$18,197.01	$40,738.03