Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $3,630.78 / $9,549.93	Facility		$162.18	$3,630.78	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,220.18 / $15,848.93	Facility		$6,760.83	$11,220.18	$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 $120.23 / $144.54 / $239.88	Professional		$120.23	$144.54	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $213.80 / $323.59	Professional		$204.17	$213.80	$323.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $190.55 / $309.03	Facility		$138.04	$190.55	$309.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $177.83 / $691.83	Facility		$138.04	$177.83	$691.83
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