Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.26 / $5,360.00 / $9,539.00	Facility		$1,037.26	$5,360.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $899.99 / $899.99 / $899.99	Facility		$899.99	$899.99	$899.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.36 / $882.78 / $1,132.04	Professional		$750.36	$882.78	$1,132.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $924.49 / $1,431.42	Facility		$696.00	$924.49	$1,431.42
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,353.15 / $1,722.15 / $3,273.23	Facility	50	$1,353.15	$1,722.15	$3,273.23
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $180.42 / $229.62 / $436.43	Facility	80	$180.42	$229.62	$436.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $670.26 / $940.02 / $9,210.00	Facility		$670.26	$940.02	$9,210.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00