Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.81 / $5,087.00 / $8,920.00	Facility		$812.81	$5,087.00	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $20,977.18 / $29,216.95	Facility		$7,142.00	$20,977.18	$29,216.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $823.57	Facility		$640.00	$640.00	$823.57
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $81.56 / $81.56 / $81.56	Facility	AS	$81.56	$81.56	$81.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.82 / $890.65 / $1,050.57	Professional		$695.82	$890.65	$1,050.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $695.82 / $950.99 / $1,373.85	Facility		$695.82	$950.99	$1,373.85
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $124.18 / $144.11 / $262.27	Facility	AS	$124.18	$144.11	$262.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $700.72 / $925.80 / $3,402.10	Facility		$700.72	$925.80	$3,402.10
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