Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,128.61 / $8,912.51	Facility		$891.25	$5,128.61	$8,912.51
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 $707.95 / $891.25 / $1,071.52	Professional		$707.95	$891.25	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $1,819.70	Professional		$1,174.90	$1,445.44	$1,819.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,659.59	Facility		$741.31	$1,071.52	$1,659.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,047.13 / $10,000.00	Facility		$758.58	$1,047.13	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,882.50 / $29,512.09	Facility		$7,413.10	$12,882.50	$29,512.09