Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $5,360.00 / $9,539.00	Facility		$1,538.00	$5,360.00	$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 $776.00 / $776.00 / $1,178.07	Facility		$776.00	$776.00	$1,178.07
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $116.84 / $116.84 / $116.84	Facility	AS	$116.84	$116.84	$116.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $995.50 / $1,274.24 / $1,499.33	Professional		$995.50	$1,274.24	$1,499.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,081.35 / $1,380.87 / $2,131.78	Facility		$1,081.35	$1,380.87	$2,131.78
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $186.66 / $251.36 / $377.24	Facility	AS	$186.66	$251.36	$377.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,033.39 / $1,389.38 / $4,522.38	Facility		$1,033.39	$1,389.38	$4,522.38
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