Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,473.60 / $5,040.00 / $10,637.11	Facility		$1,473.60	$5,040.00	$10,637.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $964.18	Facility		$900.00	$900.00	$964.18
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $95.70 / $95.70 / $95.70	Facility	AS	$95.70	$95.70	$95.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $815.32 / $1,043.60 / $1,230.32	Professional		$815.32	$1,043.60	$1,230.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $882.07 / $1,116.35 / $1,666.00	Facility		$882.07	$1,116.35	$1,666.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $143.50 / $168.84 / $305.60	Facility	AS	$143.50	$168.84	$305.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $799.55 / $1,074.38 / $3,671.28	Facility		$799.55	$1,074.38	$3,671.28
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00