Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.72 / $5,412.00 / $9,539.00	Facility		$1,516.72	$5,412.00	$9,539.00
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 $1,325.00 / $1,325.00 / $1,325.00	Facility		$1,325.00	$1,325.00	$1,325.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,105.65 / $1,300.76 / $1,669.54	Professional		$1,105.65	$1,300.76	$1,669.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,091.63 / $1,562.22 / $2,172.69	Facility		$1,091.63	$1,562.22	$2,172.69
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $280.60 / $351.69 / $664.53	Facility	80	$280.60	$351.69	$664.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,100.26 / $1,646.33 / $7,420.00	Facility		$1,100.26	$1,646.33	$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