Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.00 / $2,190.00 / $6,827.70	Facility		$812.00	$2,190.00	$6,827.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $819.04	Facility		$420.00	$420.00	$819.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $721.34 / $933.49 / $1,103.22	Professional		$721.34	$933.49	$1,103.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $497.09 / $847.47 / $1,330.98	Facility		$497.09	$847.47	$1,330.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $465.51 / $625.12 / $2,056.88	Facility		$465.51	$625.12	$2,056.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00