Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,079.46 / $22,387.21	Facility		$1,995.26	$7,079.46	$22,387.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $14,791.08 / $15,848.93	Facility		$11,748.98	$14,791.08	$15,848.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $616.60	Facility		$489.78	$524.81	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $3,019.95	Professional		$1,513.56	$1,819.70	$3,019.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,570.40 / $3,388.44	Professional		$2,290.87	$2,570.40	$3,388.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $3,467.37	Facility		$1,698.24	$2,238.72	$3,467.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $6,456.54	Facility		$1,698.24	$2,137.96	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $12,302.69 / $29,512.09	Facility		$2,511.89	$12,302.69	$29,512.09