Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.96 / $5,360.00 / $9,347.59	Facility		$1,479.96	$5,360.00	$9,347.59
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 / $945.10	Facility		$776.00	$776.00	$945.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $94.51 / $94.51 / $94.51	Facility	AS	$94.51	$94.51	$94.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $799.54 / $1,031.51 / $1,219.06	Professional		$799.54	$1,031.51	$1,219.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $836.67 / $1,035.88 / $1,604.03	Facility		$836.67	$1,035.88	$1,604.03
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $133.04 / $163.94 / $289.26	Facility	AS	$133.04	$163.94	$289.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $802.82 / $1,039.42 / $3,508.31	Facility		$802.82	$1,039.42	$3,508.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00