Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.94 / $5,388.00 / $11,024.00	Facility		$1,138.94	$5,388.00	$11,024.00
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 / $1,155.76	Facility		$640.00	$640.00	$1,155.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $114.90 / $114.90 / $114.90	Facility	AS	$114.90	$114.90	$114.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $975.82 / $1,249.05 / $1,472.80	Professional		$975.82	$1,249.05	$1,472.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $995.81 / $1,317.73 / $1,902.70	Facility		$995.81	$1,317.73	$1,902.70
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $172.65 / $192.65 / $367.22	Facility	AS	$172.65	$192.65	$367.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $979.51 / $1,287.07 / $4,319.37	Facility		$979.51	$1,287.07	$4,319.37
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