Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.27 / $3,645.00 / $8,294.00	Facility		$957.27	$3,645.00	$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 $572.00 / $572.00 / $633.12	Facility		$572.00	$572.00	$633.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $536.24 / $689.08 / $814.37	Professional		$536.24	$689.08	$814.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $482.37 / $669.22 / $1,034.61	Facility		$482.37	$669.22	$1,034.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $436.29 / $670.54 / $2,374.52	Facility		$436.29	$670.54	$2,374.52
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