Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,630.78 / $9,549.93	Facility		$1,412.54	$3,630.78	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $11,220.18 / $12,302.69	Facility		$9,772.37	$11,220.18	$12,302.69
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 $1,096.48 / $1,348.96 / $2,187.76	Professional		$1,096.48	$1,348.96	$2,187.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,137.96 / $2,511.89	Professional		$1,995.26	$2,137.96	$2,511.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,511.89	Facility		$1,202.26	$1,621.81	$2,511.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $3,019.95	Facility		$1,230.27	$1,584.89	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,019.95 / $6,309.57	Facility		$407.38	$3,019.95	$6,309.57