Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,323.18 / $5,412.00 / $11,024.00	Facility		$1,323.18	$5,412.00	$11,024.00
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 / $1,341.75	Facility		$640.00	$640.00	$1,341.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $133.40 / $133.40 / $133.40	Facility	AS	$133.40	$133.40	$133.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,134.26 / $1,451.85 / $1,712.74	Professional		$1,134.26	$1,451.85	$1,712.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,153.44 / $1,504.76 / $2,212.82	Facility		$1,153.44	$1,504.76	$2,212.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $176.12 / $223.53 / $426.92	Facility	AS	$176.12	$223.53	$426.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,094.64 / $1,474.54 / $5,011.37	Facility		$1,094.64	$1,474.54	$5,011.37
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00