Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.13 / $4,771.00 / $13,949.00	Facility		$766.13	$4,771.00	$13,949.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.64 / $843.64 / $1,200.00	Facility		$843.64	$843.64	$1,200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $636.96 / $816.18 / $964.57	Professional		$636.96	$816.18	$964.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $519.36 / $757.21 / $1,187.59	Facility		$519.36	$757.21	$1,187.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $459.23 / $621.58 / $2,123.64	Facility		$459.23	$621.58	$2,123.64
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