Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.72 / $5,282.00 / $11,555.00	Facility		$762.72	$5,282.00	$11,555.00
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 $756.99 / $756.99 / $1,700.00	Facility		$756.99	$756.99	$1,700.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.78 / $821.48 / $963.68	Professional		$641.78	$821.48	$963.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $668.04 / $892.38 / $1,250.54	Facility		$668.04	$892.38	$1,250.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $642.64 / $869.96 / $2,893.36	Facility		$642.64	$869.96	$2,893.36
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,621.00 / $17,192.00	Facility		$5,121.00	$8,621.00	$17,192.00