Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.44 / $5,087.00 / $8,294.00	Facility		$947.44	$5,087.00	$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 / $964.93	Facility		$640.00	$640.00	$964.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $817.37 / $1,046.23 / $1,235.20	Professional		$817.37	$1,046.23	$1,235.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $855.18 / $1,085.73 / $1,588.35	Facility		$855.18	$1,085.73	$1,588.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $783.79 / $1,062.88 / $3,708.80	Facility		$783.79	$1,062.88	$3,708.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00