Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.12 / $3,991.00 / $8,920.00	Facility		$131.12	$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 $119.30 / $119.30 / $610.00	Facility		$119.30	$119.30	$610.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.40 / $120.17 / $168.35	Professional		$95.40	$120.17	$168.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $136.99 / $206.59	Facility		$104.73	$136.99	$206.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.68 / $127.22 / $259.86	Facility		$100.68	$127.22	$259.86
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