Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $4,771.00 / $8,294.00	Facility		$649.00	$4,771.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $675.15	Facility		$640.00	$640.00	$675.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $570.70 / $732.70 / $865.92	Professional		$570.70	$732.70	$865.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $606.30 / $767.00 / $1,140.68	Facility		$606.30	$767.00	$1,140.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $570.71 / $741.92 / $2,501.75	Facility		$570.71	$741.92	$2,501.75
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