Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,252.23 / $8,493.00 / $23,601.00	Facility		$1,252.23	$8,493.00	$23,601.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,112.00 / $37,782.72 / $52,623.67	Facility		$4,112.00	$37,782.72	$52,623.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,262.82	Facility		$640.00	$640.00	$1,262.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $125.34 / $125.34 / $125.34	Facility	AS	$125.34	$125.34	$125.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,048.22 / $1,352.74 / $1,598.69	Professional		$1,048.22	$1,352.74	$1,598.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,138.13 / $1,456.68 / $2,160.90	Facility		$1,138.13	$1,456.68	$2,160.90
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $189.56 / $248.22 / $400.22	Facility	AS	$189.56	$248.22	$400.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,073.38 / $1,422.54 / $4,728.22	Facility		$1,073.38	$1,422.54	$4,728.22
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