Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $5,087.00 / $10,767.00	Facility		$1,244.00	$5,087.00	$10,767.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,197.79	Facility		$640.00	$640.00	$1,197.79
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.97 / $118.97 / $118.97	Facility	AS	$118.97	$118.97	$118.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,011.18 / $1,294.31 / $1,524.35	Professional		$1,011.18	$1,294.31	$1,524.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,088.09 / $1,373.76 / $1,981.12	Facility		$1,088.09	$1,373.76	$1,981.12
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $179.20 / $199.83 / $383.18	Facility	AS	$179.20	$199.83	$383.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $989.63 / $1,333.54 / $4,508.79	Facility		$989.63	$1,333.54	$4,508.79
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