Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.34 / $3,832.00 / $8,294.00	Facility		$691.34	$3,832.00	$8,294.00
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 / $1,064.61	Facility		$640.00	$640.00	$1,064.61
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $104.84 / $104.84 / $104.84	Facility	AS	$104.84	$104.84	$104.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $899.12 / $1,150.86 / $1,358.75	Professional		$899.12	$1,150.86	$1,358.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $908.80 / $1,164.15 / $1,721.39	Facility		$908.80	$1,164.15	$1,721.39
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $150.36 / $177.30 / $332.29	Facility	AS	$150.36	$177.30	$332.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $852.26 / $1,159.28 / $4,002.01	Facility		$852.26	$1,159.28	$4,002.01
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