Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $4,771.00 / $8,294.00	Facility		$1,244.00	$4,771.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $814.65	Facility		$640.00	$640.00	$814.65
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.94 / $80.94 / $80.94	Facility	AS	$80.94	$80.94	$80.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $688.33 / $881.06 / $1,039.95	Professional		$688.33	$881.06	$1,039.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $744.28 / $938.48 / $1,375.28	Facility		$744.28	$938.48	$1,375.28
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $120.54 / $141.68 / $258.69	Facility	AS	$120.54	$141.68	$258.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $671.01 / $908.10 / $3,357.83	Facility		$671.01	$908.10	$3,357.83
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