Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.54 / $5,091.00 / $8,925.00	Facility		$757.54	$5,091.00	$8,925.00
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 / $777.08	Facility		$640.00	$640.00	$777.08
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $76.84 / $76.84 / $76.84	Facility	AS	$76.84	$76.84	$76.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $657.07 / $842.24 / $995.37	Professional		$657.07	$842.24	$995.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $715.28 / $929.72 / $1,616.24	Facility		$715.28	$929.72	$1,616.24
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $121.83 / $204.40 / $244.12	Facility	AS	$121.83	$204.40	$244.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $679.16 / $946.81 / $3,167.49	Facility		$679.16	$946.81	$3,167.49
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