Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.70 / $2,561.00 / $8,294.00	Facility		$197.70	$2,561.00	$8,294.00
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 $129.11 / $495.64 / $646.21	Facility		$129.11	$495.64	$646.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.12 / $133.46 / $260.86	Professional		$107.12	$133.46	$260.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.91 / $171.51 / $258.58	Facility		$123.91	$171.51	$258.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $127.23 / $169.37 / $271.73	Facility		$127.23	$169.37	$271.73
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00