Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.67 / $5,328.00 / $11,024.00	Facility		$566.67	$5,328.00	$11,024.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $20,977.18 / $29,216.95	Facility		$7,142.00	$20,977.18	$29,216.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.33 / $569.33 / $640.00	Facility		$569.33	$569.33	$640.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.52 / $56.52 / $56.52	Facility	AS	$56.52	$56.52	$56.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $476.72 / $610.20 / $720.85	Professional		$476.72	$610.20	$720.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.87 / $678.96 / $1,037.02	Facility		$524.87	$678.96	$1,037.02
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $90.53 / $124.66 / $182.44	Facility	AS	$90.53	$124.66	$182.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $499.77 / $659.05 / $2,377.42	Facility		$499.77	$659.05	$2,377.42
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00