Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.70 / $5,091.00 / $9,539.00	Facility		$911.70	$5,091.00	$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 / $768.89	Facility		$640.00	$640.00	$768.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $76.39 / $76.39 / $76.39	Facility	AS	$76.39	$76.39	$76.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $650.29 / $832.93 / $984.37	Professional		$650.29	$832.93	$984.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $700.60 / $885.76 / $1,296.06	Facility		$700.60	$885.76	$1,296.06
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $113.13 / $167.13 / $242.41	Facility	AS	$113.13	$167.13	$242.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $652.41 / $850.72 / $3,146.39	Facility		$652.41	$850.72	$3,146.39
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