Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $3,630.78 / $8,317.64	Facility		$524.81	$3,630.78	$8,317.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,288.25 / $1,412.54	Facility		$489.78	$1,288.25	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $758.58	Professional		$426.58	$512.86	$758.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $562.34 / $912.01	Facility		$436.52	$562.34	$912.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $575.44 / $1,905.46	Facility		$457.09	$575.44	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $6,025.60 / $13,803.84	Facility		$1,071.52	$6,025.60	$13,803.84