Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,036.79 / $5,412.00 / $13,209.00	Facility		$2,036.79	$5,412.00	$13,209.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38,700.57 / $57,418.74 / $75,212.97	Facility		$38,700.57	$57,418.74	$75,212.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,043.18	Facility		$640.00	$640.00	$2,043.18
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $202.55 / $202.55 / $202.55	Facility	AS	$202.55	$202.55	$202.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,690.49 / $2,181.37 / $2,577.98	Professional		$1,690.49	$2,181.37	$2,577.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,856.69 / $2,365.14 / $3,401.70	Facility		$1,856.69	$2,365.14	$3,401.70
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $302.64 / $384.44 / $649.87	Facility	AS	$302.64	$384.44	$649.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,702.13 / $2,277.48 / $7,665.71	Facility		$1,702.13	$2,277.48	$7,665.71
United Facility/Professional Facility Modifier Low / Median / High Price $7,621.00 / $20,974.00 / $40,876.00	Facility		$7,621.00	$20,974.00	$40,876.00