Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.73 / $5,360.00 / $9,539.00	Facility		$568.73	$5,360.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.83 / $575.83 / $776.00	Facility		$575.83	$575.83	$776.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.12 / $57.12 / $57.12	Facility	AS	$57.12	$57.12	$57.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $487.49 / $623.99 / $736.76	Professional		$487.49	$623.99	$736.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $483.42 / $658.74 / $970.78	Facility		$483.42	$658.74	$970.78
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $86.17 / $124.60 / $183.49	Facility	AS	$86.17	$124.60	$183.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $486.76 / $646.16 / $2,230.00	Facility		$486.76	$646.16	$2,230.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00