Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.04 / $3,633.00 / $8,294.00	Facility		$171.04	$3,633.00	$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 $150.65 / $150.65 / $150.65	Facility		$150.65	$150.65	$150.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.17 / $148.43 / $190.54	Professional		$126.17	$148.43	$190.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.98 / $190.10 / $289.06	Facility		$124.98	$190.10	$289.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $133.50 / $227.69 / $7,420.00	Facility		$133.50	$227.69	$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