Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $5,888.44 / $15,135.61	Facility		$407.38	$5,888.44	$15,135.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,220.18 / $15,848.93	Facility		$6,760.83	$11,220.18	$15,848.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $616.60	Facility		$489.78	$524.81	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $588.84	Professional		$302.00	$363.08	$588.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $537.03 / $724.44	Professional		$501.19	$537.03	$724.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $478.63 / $724.44	Facility		$346.74	$478.63	$724.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $446.68 / $1,513.56	Facility		$346.74	$446.68	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $10,471.29 / $21,877.62	Facility		$1,737.80	$10,471.29	$21,877.62