Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.12 / $5,480.00 / $14,796.00	Facility		$634.12	$5,480.00	$14,796.00
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 $684.54 / $684.54 / $1,200.00	Facility		$684.54	$684.54	$1,200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $727.74 / $860.05	Professional		$562.34	$727.74	$860.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $423.08 / $667.00 / $1,031.41	Facility		$423.08	$667.00	$1,031.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $399.83 / $531.24 / $1,770.00	Facility		$399.83	$531.24	$1,770.00
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