Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $3,630.78 / $11,481.54	Facility		$302.00	$3,630.78	$11,481.54
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 $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $407.38	Professional		$269.15	$346.74	$407.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $630.96	Professional		$478.63	$602.56	$630.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $380.19 / $645.65	Facility		$269.15	$380.19	$645.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $380.19 / $6,918.31	Facility		$269.15	$380.19	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $7,079.46 / $13,803.84	Facility		$3,630.78	$7,079.46	$13,803.84