Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.85 / $3,991.00 / $8,920.00	Facility		$121.85	$3,991.00	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.92 / $124.92 / $610.00	Facility		$124.92	$124.92	$610.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.97 / $126.67 / $178.19	Professional		$100.97	$126.67	$178.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.98 / $136.86 / $205.93	Facility		$106.98	$136.86	$205.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $102.86 / $128.03 / $262.35	Facility		$102.86	$128.03	$262.35
United Facility/Professional Facility Modifier Low / Median / High Price $503.00 / $2,819.00 / $5,301.00	Facility		$503.00	$2,819.00	$5,301.00