Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.99 / $3,226.00 / $8,920.00	Facility		$196.99	$3,226.00	$8,920.00
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 $289.20 / $610.00 / $1,035.00	Facility		$289.20	$610.00	$1,035.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.33 / $487.82 / $607.34	Professional		$393.33	$487.82	$607.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $196.07 / $402.05 / $697.52	Facility		$196.07	$402.05	$697.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $179.86 / $237.42 / $412.52	Facility		$179.86	$237.42	$412.52
United Facility/Professional Facility Modifier Low / Median / High Price $503.00 / $2,441.00 / $5,226.00	Facility		$503.00	$2,441.00	$5,226.00