Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $5,328.00 / $9,347.59	Facility		$1,538.00	$5,328.00	$9,347.59
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 $1,213.16 / $1,213.16 / $1,213.16	Facility		$1,213.16	$1,213.16	$1,213.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,011.04 / $1,189.46 / $1,528.80	Professional		$1,011.04	$1,189.46	$1,528.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,000.14 / $1,376.75 / $1,941.59	Facility		$1,000.14	$1,376.75	$1,941.59
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $225.00 / $279.36 / $610.46	Facility	80	$225.00	$279.36	$610.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,010.13 / $1,356.08 / $7,420.00	Facility		$1,010.13	$1,356.08	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00