Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $4,168.69 / $8,317.64	Facility		$758.58	$4,168.69	$8,317.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $15,488.17	Facility		$9,772.37	$13,182.57	$15,488.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $891.25	Professional		$602.56	$741.31	$891.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,513.56	Professional		$1,023.29	$1,288.25	$1,513.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $891.25 / $1,445.44	Facility		$645.65	$891.25	$1,445.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $912.01 / $9,549.93	Facility		$645.65	$912.01	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $23,988.33	Facility		$6,456.54	$11,481.54	$23,988.33