Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.69 / $5,087.00 / $8,294.00	Facility		$864.69	$5,087.00	$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 / $877.51	Facility		$640.00	$640.00	$877.51
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $87.09 / $87.09 / $87.09	Facility	AS	$87.09	$87.09	$87.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.26 / $950.09 / $1,119.66	Professional		$742.26	$950.09	$1,119.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $803.67 / $1,026.63 / $1,582.38	Facility		$803.67	$1,026.63	$1,582.38
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $139.49 / $191.82 / $279.23	Facility	AS	$139.49	$191.82	$279.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $770.56 / $1,045.14 / $3,350.30	Facility		$770.56	$1,045.14	$3,350.30
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