Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,154.95 / $5,360.00 / $10,767.00	Facility		$1,154.95	$5,360.00	$10,767.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,861.00 / $27,843.00 / $30,195.00	Facility		$21,861.00	$27,843.00	$30,195.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.87 / $755.87 / $776.00	Facility		$755.87	$755.87	$776.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.63 / $817.45 / $966.02	Professional		$638.63	$817.45	$966.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $689.69 / $874.97 / $1,304.69	Facility		$689.69	$874.97	$1,304.69
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,171.50 / $1,402.50 / $2,563.80	Facility	50	$1,171.50	$1,402.50	$2,563.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $617.86 / $848.41 / $2,870.93	Facility		$617.86	$848.41	$2,870.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $29,685.00	Facility		$6,423.00	$11,475.00	$29,685.00