Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.96 / $3,633.00 / $9,918.00	Facility		$174.96	$3,633.00	$9,918.00
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 $176.03 / $610.00 / $972.27	Facility		$176.03	$610.00	$972.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $178.54 / $365.59	Professional		$148.16	$178.54	$365.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $157.19 / $190.87 / $295.68	Facility		$157.19	$190.87	$295.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $142.19 / $178.84 / $358.46	Facility		$142.19	$178.84	$358.46
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00