Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,871.50 / $5,040.00 / $11,425.00	Facility		$1,871.50	$5,040.00	$11,425.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,524.00 / $22,312.00 / $37,718.00	Facility		$12,524.00	$22,312.00	$37,718.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,178.45	Facility		$900.00	$900.00	$1,178.45
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $116.95 / $116.95 / $116.95	Facility	AS	$116.95	$116.95	$116.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $994.95 / $1,273.54 / $1,500.28	Professional		$994.95	$1,273.54	$1,500.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,080.20 / $1,368.85 / $1,988.93	Facility		$1,080.20	$1,368.85	$1,988.93
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $179.55 / $257.52 / $377.39	Facility	AS	$179.55	$257.52	$377.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,032.84 / $1,340.19 / $4,432.14	Facility		$1,032.84	$1,340.19	$4,432.14
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