Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.83 / $5,087.00 / $8,294.00	Facility		$1,094.83	$5,087.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,102.93	Facility		$640.00	$640.00	$1,102.93
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $109.46 / $109.46 / $109.46	Facility	AS	$109.46	$109.46	$109.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $930.76 / $1,191.36 / $1,403.19	Professional		$930.76	$1,191.36	$1,403.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,012.86 / $1,289.42 / $1,854.01	Facility		$1,012.86	$1,289.42	$1,854.01
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $167.92 / $193.34 / $353.13	Facility	AS	$167.92	$193.34	$353.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $941.86 / $1,240.70 / $4,156.22	Facility		$941.86	$1,240.70	$4,156.22
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