Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.16 / $1,938.00 / $9,941.24	Facility		$194.16	$1,938.00	$9,941.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.82 / $120.82 / $120.82	Facility		$120.82	$120.82	$120.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $11.78 / $11.78 / $11.78	Facility	AS	$11.78	$11.78	$11.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.06 / $119.82 / $143.72	Professional		$97.06	$119.82	$143.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.39 / $143.97 / $220.92	Facility		$105.39	$143.97	$220.92
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $16.97 / $19.88 / $41.93	Facility	AS	$16.97	$19.88	$41.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $111.46 / $148.18 / $259.02	Facility		$111.46	$148.18	$259.02
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00