Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,528.34 / $5,636.00 / $9,975.00	Facility		$1,528.34	$5,636.00	$9,975.00
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 $776.00 / $776.00 / $975.72	Facility		$776.00	$776.00	$975.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $97.05 / $97.05 / $97.05	Facility	AS	$97.05	$97.05	$97.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $823.90 / $1,054.58 / $1,243.09	Professional		$823.90	$1,054.58	$1,243.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $896.72 / $1,136.08 / $1,646.29	Facility		$896.72	$1,136.08	$1,646.29
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $147.88 / $213.77 / $312.01	Facility	AS	$147.88	$213.77	$312.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $837.06 / $1,098.11 / $3,743.23	Facility		$837.06	$1,098.11	$3,743.23
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