Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $5,360.00 / $9,347.59	Facility		$1,538.00	$5,360.00	$9,347.59
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 $776.00 / $776.00 / $1,401.97	Facility		$776.00	$776.00	$1,401.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $139.02 / $139.02 / $139.02	Facility	AS	$139.02	$139.02	$139.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,176.93 / $1,506.47 / $1,771.19	Professional		$1,176.93	$1,506.47	$1,771.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,284.04 / $1,663.92 / $2,446.46	Facility		$1,284.04	$1,663.92	$2,446.46
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $217.47 / $306.64 / $450.42	Facility	AS	$217.47	$306.64	$450.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,227.90 / $1,659.67 / $5,286.08	Facility		$1,227.90	$1,659.67	$5,286.08
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