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 / $714.69	Facility		$420.00	$420.00	$714.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $603.92 / $781.56 / $923.66	Professional		$603.92	$781.56	$923.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $583.72 / $755.77 / $1,170.27	Facility		$583.72	$755.77	$1,170.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $587.49 / $778.97 / $1,683.00	Facility		$587.49	$778.97	$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