Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.93 / $3,912.00 / $8,920.00	Facility		$995.93	$3,912.00	$8,920.00
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 $1,006.12 / $1,006.12 / $1,700.00	Facility		$1,006.12	$1,006.12	$1,700.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $99.84 / $99.84 / $99.84	Facility	AS	$99.84	$99.84	$99.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $844.72 / $1,081.24 / $1,272.64	Professional		$844.72	$1,081.24	$1,272.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $928.65 / $1,140.72 / $1,638.61	Facility		$928.65	$1,140.72	$1,638.61
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $145.41 / $167.16 / $321.79	Facility	AS	$145.41	$167.16	$321.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $850.36 / $1,112.99 / $3,898.40	Facility		$850.36	$1,112.99	$3,898.40
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