Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $5,011.87 / $14,791.08	Facility		$1,479.11	$5,011.87	$14,791.08
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility	50	$3,090.30	$3,090.30	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $15,488.17	Facility		$9,772.37	$13,182.57	$15,488.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,737.80	Professional		$1,148.15	$1,479.11	$1,737.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $3,019.95	Professional		$1,737.80	$2,187.76	$3,019.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,630.27	Facility		$1,202.26	$1,698.24	$2,630.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $11,481.54	Facility		$1,148.15	$1,659.59	$11,481.54
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,882.50 / $29,512.09	Facility		$7,413.10	$12,882.50	$29,512.09