Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $5,360.00 / $9,347.59	Facility		$1,538.00	$5,360.00	$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 / $1,056.44	Facility		$776.00	$776.00	$1,056.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $104.91 / $104.91 / $104.91	Facility	AS	$104.91	$104.91	$104.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $892.12 / $1,141.91 / $1,346.22	Professional		$892.12	$1,141.91	$1,346.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $956.18 / $1,193.43 / $1,747.74	Facility		$956.18	$1,193.43	$1,747.74
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $143.78 / $176.11 / $337.38	Facility	AS	$143.78	$176.11	$337.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $851.48 / $1,159.76 / $4,051.28	Facility		$851.48	$1,159.76	$4,051.28
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,397.00 / $26,537.00	Facility		$7,408.00	$13,397.00	$26,537.00