Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.47 / $5,040.00 / $10,802.30	Facility		$923.47	$5,040.00	$10,802.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $932.57	Facility		$900.00	$900.00	$932.57
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.68 / $92.68 / $92.68	Facility	AS	$92.68	$92.68	$92.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $787.92 / $1,008.54 / $1,189.68	Professional		$787.92	$1,008.54	$1,189.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $860.43 / $1,091.35 / $1,610.81	Facility		$860.43	$1,091.35	$1,610.81
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $141.26 / $204.05 / $297.74	Facility	AS	$141.26	$204.05	$297.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $819.67 / $1,085.88 / $3,574.49	Facility		$819.67	$1,085.88	$3,574.49
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00