Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.93 / $5,480.00 / $14,798.00	Facility		$875.93	$5,480.00	$14,798.00
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 $575.83 / $575.83 / $1,200.00	Facility		$575.83	$575.83	$1,200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $487.37 / $624.41 / $737.95	Professional		$487.37	$624.41	$737.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $507.34 / $645.91 / $971.95	Facility		$507.34	$645.91	$971.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $472.92 / $634.42 / $1,683.00	Facility		$472.92	$634.42	$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