Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.50 / $4,796.00 / $8,294.00	Facility		$871.50	$4,796.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $682.63	Facility		$640.00	$640.00	$682.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $577.20 / $746.97 / $882.78	Professional		$577.20	$746.97	$882.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $569.77 / $733.49 / $1,135.77	Facility		$569.77	$733.49	$1,135.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $569.26 / $766.67 / $1,683.00	Facility		$569.26	$766.67	$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