Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.34 / $5,087.00 / $8,920.00	Facility		$1,055.34	$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 / $1,062.48	Facility		$640.00	$640.00	$1,062.48
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $105.51 / $105.51 / $105.51	Facility	AS	$105.51	$105.51	$105.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $895.19 / $1,145.83 / $1,349.26	Professional		$895.19	$1,145.83	$1,349.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $976.42 / $1,245.50 / $1,786.85	Facility		$976.42	$1,245.50	$1,786.85
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $162.02 / $187.88 / $340.39	Facility	AS	$162.02	$187.88	$340.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $923.24 / $1,206.73 / $4,072.00	Facility		$923.24	$1,206.73	$4,072.00
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