Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $5,087.00 / $9,539.00	Facility		$1,244.00	$5,087.00	$9,539.00
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 / $1,133.06	Facility		$640.00	$640.00	$1,133.06
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.33 / $112.33 / $112.33	Facility	AS	$112.33	$112.33	$112.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $959.23 / $1,228.60 / $1,452.00	Professional		$959.23	$1,228.60	$1,452.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,009.59 / $1,280.00 / $1,857.54	Facility		$1,009.59	$1,280.00	$1,857.54
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $166.57 / $203.42 / $357.06	Facility	AS	$166.57	$203.42	$357.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $915.77 / $1,241.97 / $4,193.31	Facility		$915.77	$1,241.97	$4,193.31
United Facility/Professional Facility Modifier Low / Median / High Price $6,398.00 / $10,000.00 / $21,639.00	Facility		$6,398.00	$10,000.00	$21,639.00