Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.00 / $2,561.00 / $8,294.00	Facility		$812.00	$2,561.00	$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 $420.00 / $420.00 / $782.92	Facility		$420.00	$420.00	$782.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.32 / $854.54 / $1,009.91	Professional		$660.32	$854.54	$1,009.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $558.30 / $725.42 / $1,135.77	Facility		$558.30	$725.42	$1,135.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $523.30 / $725.57 / $2,528.07	Facility		$523.30	$725.57	$2,528.07
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