Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.65 / $5,412.00 / $11,024.00	Facility		$768.65	$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 $640.00 / $640.00 / $767.20	Facility		$640.00	$640.00	$767.20
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.27 / $75.27 / $75.27	Facility	AS	$75.27	$75.27	$75.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $632.91 / $810.12 / $950.11	Professional		$632.91	$810.12	$950.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $690.28 / $903.74 / $1,292.27	Facility		$690.28	$903.74	$1,292.27
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $125.36 / $149.10 / $247.60	Facility	AS	$125.36	$149.10	$247.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $663.13 / $890.20 / $3,196.47	Facility		$663.13	$890.20	$3,196.47
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