Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,577.54 / $4,347.00 / $9,539.00	Facility		$1,577.54	$4,347.00	$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 / $1,031.88	Facility		$640.00	$640.00	$1,031.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.45 / $102.45 / $102.45	Facility	AS	$102.45	$102.45	$102.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $872.02 / $1,116.19 / $1,318.21	Professional		$872.02	$1,116.19	$1,318.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $931.71 / $1,184.95 / $1,703.68	Facility		$931.71	$1,184.95	$1,703.68
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $153.02 / $198.93 / $326.91	Facility	AS	$153.02	$198.93	$326.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $838.97 / $1,133.63 / $3,925.57	Facility		$838.97	$1,133.63	$3,925.57
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