Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.11 / $5,087.00 / $8,920.00	Facility		$935.11	$5,087.00	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,875.97 / $8,404.25 / $11,705.41	Facility		$5,875.97	$8,404.25	$11,705.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $941.20	Facility		$640.00	$640.00	$941.20
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $93.69 / $93.69 / $93.69	Facility	AS	$93.69	$93.69	$93.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.52 / $1,016.99 / $1,199.39	Professional		$794.52	$1,016.99	$1,199.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $831.83 / $1,090.45 / $1,594.39	Facility		$831.83	$1,090.45	$1,594.39
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $139.58 / $163.80 / $301.50	Facility	AS	$139.58	$163.80	$301.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $778.21 / $1,061.34 / $3,512.00	Facility		$778.21	$1,061.34	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00