Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.79 / $3,988.00 / $8,294.00	Facility		$216.79	$3,988.00	$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 $270.06 / $925.00 / $1,572.88	Facility		$270.06	$925.00	$1,572.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.17 / $338.96 / $510.00	Professional		$271.17	$338.96	$510.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.24 / $289.20 / $469.84	Facility		$179.24	$289.20	$469.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $160.25 / $203.50 / $368.53	Facility		$160.25	$203.50	$368.53
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