Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,692.29 / $4,796.00 / $9,539.00	Facility		$1,692.29	$4,796.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,683.98	Facility		$640.00	$640.00	$1,683.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,405.19 / $1,808.71 / $2,137.56	Professional		$1,405.19	$1,808.71	$2,137.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,485.11 / $1,957.61 / $2,781.38	Facility		$1,485.11	$1,957.61	$2,781.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,399.99 / $1,882.84 / $3,584.06	Facility		$1,399.99	$1,882.84	$3,584.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,945.00 / $5,226.00	Facility		$1,275.00	$2,945.00	$5,226.00