Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.14 / $5,048.00 / $8,920.00	Facility		$771.14	$5,048.00	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $9,527.62 / $13,270.04	Facility		$6,385.00	$9,527.62	$13,270.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $786.75	Facility		$640.00	$640.00	$786.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $78.14 / $78.14 / $78.14	Facility	AS	$78.14	$78.14	$78.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $664.54 / $851.18 / $1,005.94	Professional		$664.54	$851.18	$1,005.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $717.81 / $909.41 / $1,411.19	Facility		$717.81	$909.41	$1,411.19
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $116.11 / $171.22 / $248.54	Facility	AS	$116.11	$171.22	$248.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $675.14 / $870.79 / $2,990.15	Facility		$675.14	$870.79	$2,990.15
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