Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.47 / $1,938.00 / $5,743.00	Facility		$678.47	$1,938.00	$5,743.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.43 / $177.43 / $420.00	Facility		$177.43	$177.43	$420.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.05 / $193.39 / $228.55	Professional		$150.05	$193.39	$228.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $155.86 / $200.53 / $300.12	Facility		$155.86	$200.53	$300.12
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $267.92 / $407.87 / $584.01	Facility	50	$267.92	$407.87	$584.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $149.61 / $195.08 / $1,285.00	Facility		$149.61	$195.08	$1,285.00
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