Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.89 / $4,771.00 / $9,539.00	Facility		$377.89	$4,771.00	$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 $374.93 / $374.93 / $1,700.00	Facility		$374.93	$374.93	$1,700.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $396.22 / $468.26	Professional		$306.17	$396.22	$468.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $329.86 / $431.88 / $620.86	Facility		$329.86	$431.88	$620.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $314.55 / $413.13 / $1,291.00	Facility		$314.55	$413.13	$1,291.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,959.00 / $5,226.00	Facility		$1,275.00	$2,959.00	$5,226.00