Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.82 / $5,328.00 / $11,024.00	Facility		$894.82	$5,328.00	$11,024.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $925.00	Facility		$490.00	$610.00	$925.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $739.45 / $913.44 / $1,304.91	Professional		$739.45	$913.44	$1,304.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $792.19 / $1,019.47 / $1,512.25	Facility		$792.19	$1,019.47	$1,512.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $781.77 / $968.35 / $1,847.59	Facility		$781.77	$968.35	$1,847.59
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,680.00	Facility		$908.00	$5,815.00	$12,680.00