Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.52 / $5,636.00 / $14,798.00	Facility		$1,104.52	$5,636.00	$14,798.00
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 $726.86 / $726.86 / $1,200.00	Facility		$726.86	$726.86	$1,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.95 / $71.95 / $71.95	Facility	AS	$71.95	$71.95	$71.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $615.41 / $788.39 / $931.74	Professional		$615.41	$788.39	$931.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $650.63 / $822.42 / $1,212.85	Facility		$650.63	$822.42	$1,212.85
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $105.23 / $136.78 / $226.58	Facility	AS	$105.23	$136.78	$226.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $580.87 / $800.05 / $2,729.84	Facility		$580.87	$800.05	$2,729.84
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