Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,097.89 / $5,412.00 / $11,425.00	Facility		$1,097.89	$5,412.00	$11,425.00
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 / $1,217.95	Facility		$640.00	$640.00	$1,217.95
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $121.06 / $121.06 / $121.06	Facility	AS	$121.06	$121.06	$121.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,004.93 / $1,294.98 / $1,487.30	Professional		$1,004.93	$1,294.98	$1,487.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,047.98 / $1,337.70 / $1,894.73	Facility		$1,047.98	$1,337.70	$1,894.73
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $187.54 / $199.56 / $365.66	Facility	AS	$187.54	$199.56	$365.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $998.29 / $1,308.86 / $4,252.28	Facility		$998.29	$1,308.86	$4,252.28
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