Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,626.88 / $5,040.00 / $9,539.00	Facility		$1,626.88	$5,040.00	$9,539.00
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 $892.02 / $892.02 / $900.00	Facility		$892.02	$892.02	$900.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $88.58 / $88.58 / $88.58	Facility	AS	$88.58	$88.58	$88.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $753.78 / $964.84 / $1,139.83	Professional		$753.78	$964.84	$1,139.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $756.00 / $969.82 / $1,470.43	Facility		$756.00	$969.82	$1,470.43
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $108.50 / $148.47 / $282.95	Facility	AS	$108.50	$148.47	$282.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $678.41 / $973.09 / $3,442.00	Facility		$678.41	$973.09	$3,442.00
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