Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.83 / $5,087.00 / $8,920.00	Facility		$821.83	$5,087.00	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $814.85	Facility		$640.00	$640.00	$814.85
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $79.45 / $79.45 / $79.45	Facility	AS	$79.45	$79.45	$79.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $667.22 / $854.04 / $997.31	Professional		$667.22	$854.04	$997.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $727.94 / $961.54 / $1,342.57	Facility		$727.94	$961.54	$1,342.57
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $133.99 / $139.86 / $265.12	Facility	AS	$133.99	$139.86	$265.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $724.33 / $954.14 / $3,166.01	Facility		$724.33	$954.14	$3,166.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,510.00 / $5,979.00 / $13,521.00	Facility		$3,510.00	$5,979.00	$13,521.00