Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,441.29 / $5,360.00 / $9,347.59	Facility		$1,441.29	$5,360.00	$9,347.59
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 $776.00 / $776.00 / $943.36	Facility		$776.00	$776.00	$943.36
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $93.69 / $93.69 / $93.69	Facility	AS	$93.69	$93.69	$93.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $796.67 / $1,019.74 / $1,204.50	Professional		$796.67	$1,019.74	$1,204.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $862.11 / $1,091.88 / $1,621.39	Facility		$862.11	$1,091.88	$1,621.39
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $140.32 / $182.46 / $298.68	Facility	AS	$140.32	$182.46	$298.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $799.05 / $1,046.13 / $3,586.66	Facility		$799.05	$1,046.13	$3,586.66
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00