Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.08 / $2,561.00 / $8,294.00	Facility		$127.08	$2,561.00	$8,294.00
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 $115.00 / $115.00 / $115.00	Facility		$115.00	$115.00	$115.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.80 / $143.55	Professional		$93.33	$109.80	$143.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.56 / $128.79 / $201.44	Facility		$95.56	$128.79	$201.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.75 / $128.82 / $7,420.00	Facility		$95.75	$128.82	$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