Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,581.26 / $3,991.00 / $8,294.00	Facility		$1,581.26	$3,991.00	$8,294.00
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 $640.00 / $640.00 / $1,107.38	Facility		$640.00	$640.00	$1,107.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $109.98 / $109.98 / $109.98	Facility	AS	$109.98	$109.98	$109.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.97 / $1,195.48 / $1,406.60	Professional		$933.97	$1,195.48	$1,406.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $936.73 / $1,214.89 / $1,809.59	Facility		$936.73	$1,214.89	$1,809.59
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $127.68 / $184.61 / $355.57	Facility	AS	$127.68	$184.61	$355.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $818.68 / $1,215.92 / $4,182.30	Facility		$818.68	$1,215.92	$4,182.30
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