Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $5,328.00 / $9,347.59	Facility		$1,538.00	$5,328.00	$9,347.59
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 $776.00 / $776.00 / $1,227.18	Facility		$776.00	$776.00	$1,227.18
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $122.06 / $122.06 / $122.06	Facility	AS	$122.06	$122.06	$122.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,036.61 / $1,326.87 / $1,565.49	Professional		$1,036.61	$1,326.87	$1,565.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,112.58 / $1,417.77 / $2,114.13	Facility		$1,112.58	$1,417.77	$2,114.13
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $183.62 / $219.38 / $390.72	Facility	AS	$183.62	$219.38	$390.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,040.94 / $1,357.98 / $4,685.85	Facility		$1,040.94	$1,357.98	$4,685.85
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