Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.07 / $3,633.00 / $8,920.00	Facility		$177.07	$3,633.00	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.23 / $925.00 / $4,781.52	Facility		$173.23	$925.00	$4,781.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $173.14 / $351.93	Professional		$144.28	$173.14	$351.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $157.52 / $214.51 / $295.04	Facility		$157.52	$214.51	$295.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $168.36 / $213.36 / $366.47	Facility		$168.36	$213.36	$366.47
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