Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.40 / $5,087.00 / $8,294.00	Facility		$654.40	$5,087.00	$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 / $670.69	Facility		$640.00	$640.00	$670.69
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.66 / $66.66 / $66.66	Facility	AS	$66.66	$66.66	$66.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $567.08 / $726.61 / $858.72	Professional		$567.08	$726.61	$858.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $611.02 / $773.38 / $1,163.40	Facility		$611.02	$773.38	$1,163.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $98.56 / $146.18 / $210.90	Facility	AS	$98.56	$146.18	$210.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $569.22 / $737.20 / $2,746.53	Facility		$569.22	$737.20	$2,746.53
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