Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.05 / $5,360.00 / $10,391.00	Facility		$1,220.05	$5,360.00	$10,391.00
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 / $1,232.17	Facility		$776.00	$776.00	$1,232.17
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $122.40 / $122.40 / $122.40	Facility	AS	$122.40	$122.40	$122.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,036.41 / $1,326.60 / $1,560.91	Professional		$1,036.41	$1,326.60	$1,560.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,128.54 / $1,433.37 / $2,072.62	Facility		$1,128.54	$1,433.37	$2,072.62
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $182.98 / $218.26 / $393.68	Facility	AS	$182.98	$218.26	$393.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,034.71 / $1,384.77 / $4,741.31	Facility		$1,034.71	$1,384.77	$4,741.31
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