Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.79 / $3,912.00 / $8,920.00	Facility		$518.79	$3,912.00	$8,920.00
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 $491.30 / $491.30 / $640.00	Facility		$491.30	$491.30	$640.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.50 / $48.50 / $48.50	Facility	AS	$48.50	$48.50	$48.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $413.22 / $517.45 / $611.53	Professional		$413.22	$517.45	$611.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $451.15 / $632.40 / $858.96	Facility		$451.15	$632.40	$858.96
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $81.59 / $103.48 / $168.33	Facility	AS	$81.59	$103.48	$168.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $458.94 / $673.88 / $2,100.89	Facility		$458.94	$673.88	$2,100.89
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