Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.25 / $5,412.00 / $11,024.00	Facility		$608.25	$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 $625.29 / $625.29 / $640.00	Facility		$625.29	$625.29	$640.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $62.19 / $62.19 / $62.19	Facility	AS	$62.19	$62.19	$62.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $526.23 / $674.15 / $796.72	Professional		$526.23	$674.15	$796.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $573.33 / $731.20 / $1,113.09	Facility		$573.33	$731.20	$1,113.09
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $98.27 / $119.98 / $195.67	Facility	AS	$98.27	$119.98	$195.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $540.69 / $711.53 / $2,545.02	Facility		$540.69	$711.53	$2,545.02
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