Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,226.00 / $8,294.00 / $23,699.00	Facility		$3,226.00	$8,294.00	$23,699.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,524.00 / $22,312.00 / $37,718.00	Facility		$12,524.00	$22,312.00	$37,718.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,849.74	Facility		$640.00	$640.00	$1,849.74
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $183.13 / $183.13 / $183.13	Facility	AS	$183.13	$183.13	$183.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,530.88 / $1,972.11 / $2,330.67	Professional		$1,530.88	$1,972.11	$2,330.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,693.63 / $2,140.92 / $3,069.12	Facility		$1,693.63	$2,140.92	$3,069.12
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $282.07 / $305.08 / $591.63	Facility	AS	$282.07	$305.08	$591.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,540.51 / $2,052.48 / $6,836.00	Facility		$1,540.51	$2,052.48	$6,836.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,381.00 / $12,350.00 / $26,537.00	Facility		$7,381.00	$12,350.00	$26,537.00