Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.11 / $3,226.00 / $8,294.00	Facility		$175.11	$3,226.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.85 / $258.85 / $258.85	Facility		$258.85	$258.85	$258.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.79 / $706.55 / $865.88	Professional		$588.79	$706.55	$865.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.11 / $568.72 / $1,000.54	Facility		$175.11	$568.72	$1,000.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $167.26 / $226.98 / $600.22	Facility		$167.26	$226.98	$600.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,890.00 / $3,765.00	Facility		$1,066.00	$1,890.00	$3,765.00