Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.90 / $3,988.00 / $8,294.00	Facility		$619.90	$3,988.00	$8,294.00
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 $640.00 / $640.00 / $706.45	Facility		$640.00	$640.00	$706.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $561.00 / $721.30 / $852.45	Professional		$561.00	$721.30	$852.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $454.17 / $653.52 / $1,029.71	Facility		$454.17	$653.52	$1,029.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $400.04 / $523.88 / $1,770.00	Facility		$400.04	$523.88	$1,770.00
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