Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.61 / $5,412.00 / $11,024.00	Facility		$604.61	$5,412.00	$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 $620.10 / $620.10 / $640.00	Facility		$620.10	$620.10	$640.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $61.67 / $61.67 / $61.67	Facility	AS	$61.67	$61.67	$61.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.39 / $670.52 / $792.43	Professional		$522.39	$670.52	$792.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $565.25 / $716.89 / $1,108.52	Facility		$565.25	$716.89	$1,108.52
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $95.14 / $134.66 / $194.54	Facility	AS	$95.14	$134.66	$194.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $535.92 / $707.32 / $2,533.21	Facility		$535.92	$707.32	$2,533.21
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00