Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.78 / $3,645.00 / $8,294.00	Facility		$618.78	$3,645.00	$8,294.00
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 $572.00 / $572.00 / $650.60	Facility		$572.00	$572.00	$650.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $64.05 / $64.05 / $64.05	Facility	AS	$64.05	$64.05	$64.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $548.32 / $705.47 / $833.74	Professional		$548.32	$705.47	$833.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $578.29 / $719.66 / $1,039.39	Facility		$578.29	$719.66	$1,039.39
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $95.80 / $116.39 / $199.11	Facility	AS	$95.80	$116.39	$199.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $545.08 / $712.83 / $2,403.98	Facility		$545.08	$712.83	$2,403.98
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