Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $4,390.00 / $8,306.51	Facility		$1,244.00	$4,390.00	$8,306.51
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 / $953.40	Facility		$640.00	$640.00	$953.40
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $94.58 / $94.58 / $94.58	Facility	AS	$94.58	$94.58	$94.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $805.77 / $1,031.39 / $1,217.46	Professional		$805.77	$1,031.39	$1,217.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $859.92 / $1,099.73 / $1,605.29	Facility		$859.92	$1,099.73	$1,605.29
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $142.22 / $207.81 / $303.05	Facility	AS	$142.22	$207.81	$303.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $812.01 / $1,060.40 / $3,623.59	Facility		$812.01	$1,060.40	$3,623.59
United Facility/Professional Facility Modifier Low / Median / High Price $7,381.00 / $12,350.00 / $26,537.00	Facility		$7,381.00	$12,350.00	$26,537.00