Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,630.78 / $9,549.93	Facility		$1,548.82	$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 $1,202.26 / $1,445.44 / $2,344.23	Professional		$1,202.26	$1,445.44	$2,344.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,819.70 / $2,951.21	Professional		$1,698.24	$1,819.70	$2,951.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,691.53	Facility		$1,318.26	$1,737.80	$2,691.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $3,235.94	Facility		$1,288.25	$1,584.89	$3,235.94
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