Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,428.00 / $5,980.00 / $14,798.00	Facility		$2,428.00	$5,980.00	$14,798.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,861.00 / $28,147.00 / $30,324.00	Facility		$21,861.00	$28,147.00	$30,324.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,642.08	Facility		$640.00	$640.00	$1,642.08
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $162.59 / $162.59 / $162.59	Facility	AS	$162.59	$162.59	$162.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,379.84 / $1,766.20 / $2,073.71	Professional		$1,379.84	$1,766.20	$2,073.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $1,918.16 / $2,807.68	Facility		$1,499.00	$1,918.16	$2,807.68
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $209.86 / $282.10 / $529.45	Facility	AS	$209.86	$282.10	$529.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,356.27 / $1,840.38 / $6,337.69	Facility		$1,356.27	$1,840.38	$6,337.69
United Facility/Professional Facility Modifier Low / Median / High Price $7,621.00 / $21,089.00 / $40,876.00	Facility		$7,621.00	$21,089.00	$40,876.00