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 / $913.96	Facility		$640.00	$640.00	$913.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $90.78 / $90.78 / $90.78	Facility	AS	$90.78	$90.78	$90.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $772.75 / $989.12 / $1,165.35	Professional		$772.75	$989.12	$1,165.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $842.77 / $1,084.57 / $1,653.37	Facility		$842.77	$1,084.57	$1,653.37
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $146.03 / $200.17 / $291.58	Facility	AS	$146.03	$200.17	$291.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $803.75 / $1,093.59 / $3,498.77	Facility		$803.75	$1,093.59	$3,498.77
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