Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $782.17 / $4,891.00 / $8,920.00	Facility		$782.17	$4,891.00	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $792.20	Facility		$640.00	$640.00	$792.20
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $78.67 / $78.67 / $78.67	Facility	AS	$78.67	$78.67	$78.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $666.31 / $852.88 / $1,006.37	Professional		$666.31	$852.88	$1,006.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $727.65 / $915.14 / $1,296.39	Facility		$727.65	$915.14	$1,296.39
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $122.70 / $131.88 / $251.89	Facility	AS	$122.70	$131.88	$251.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $670.05 / $887.67 / $3,033.60	Facility		$670.05	$887.67	$3,033.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00