Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.90 / $5,480.00 / $14,798.00	Facility		$795.90	$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 $524.12 / $524.12 / $1,200.00	Facility		$524.12	$524.12	$1,200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.46 / $570.77 / $674.54	Professional		$443.46	$570.77	$674.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $468.84 / $598.27 / $924.15	Facility		$468.84	$598.27	$924.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $444.63 / $580.37 / $2,114.26	Facility		$444.63	$580.37	$2,114.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00