Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.86 / $4,691.00 / $8,003.00	Facility		$610.86	$4,691.00	$8,003.00
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 / $703.52	Facility		$640.00	$640.00	$703.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $547.23 / $704.43 / $832.51	Professional		$547.23	$704.43	$832.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $400.82 / $627.90 / $1,011.32	Facility		$400.82	$627.90	$1,011.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $312.29 / $511.78 / $1,770.00	Facility		$312.29	$511.78	$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