Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.31 / $5,360.00 / $9,347.59	Facility		$992.31	$5,360.00	$9,347.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.79 / $549.79 / $776.00	Facility		$549.79	$549.79	$776.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $54.47 / $54.47 / $54.47	Facility	AS	$54.47	$54.47	$54.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $464.83 / $596.89 / $705.42	Professional		$464.83	$596.89	$705.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $498.84 / $630.62 / $939.77	Facility		$498.84	$630.62	$939.77
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $79.95 / $117.74 / $171.84	Facility	AS	$79.95	$117.74	$171.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $468.74 / $615.01 / $2,230.00	Facility		$468.74	$615.01	$2,230.00
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