Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.89 / $3,912.00 / $8,920.00	Facility		$719.89	$3,912.00	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,112.00 / $20,977.18 / $29,216.95	Facility		$4,112.00	$20,977.18	$29,216.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $733.18	Facility		$640.00	$640.00	$733.18
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $72.81 / $72.81 / $72.81	Facility	AS	$72.81	$72.81	$72.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $619.26 / $792.99 / $937.17	Professional		$619.26	$792.99	$937.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $629.10 / $830.04 / $1,228.52	Facility		$629.10	$830.04	$1,228.52
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $108.67 / $158.72 / $231.98	Facility	AS	$108.67	$158.72	$231.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $634.44 / $842.09 / $2,793.73	Facility		$634.44	$842.09	$2,793.73
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