Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,118.96 / $5,388.00 / $11,024.00	Facility		$1,118.96	$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 / $1,130.08	Facility		$640.00	$640.00	$1,130.08
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.33 / $112.33 / $112.33	Facility	AS	$112.33	$112.33	$112.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $953.84 / $1,220.92 / $1,439.07	Professional		$953.84	$1,220.92	$1,439.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,039.95 / $1,322.40 / $2,047.70	Facility		$1,039.95	$1,322.40	$2,047.70
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $170.93 / $238.56 / $360.77	Facility	AS	$170.93	$238.56	$360.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $981.35 / $1,271.33 / $4,250.89	Facility		$981.35	$1,271.33	$4,250.89
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00