Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,432.19 / $5,040.00 / $10,637.11	Facility		$1,432.19	$5,040.00	$10,637.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $929.59	Facility		$900.00	$900.00	$929.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.68 / $92.68 / $92.68	Facility	AS	$92.68	$92.68	$92.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $785.24 / $1,005.11 / $1,186.98	Professional		$785.24	$1,005.11	$1,186.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $855.54 / $1,084.06 / $1,603.21	Facility		$855.54	$1,084.06	$1,603.21
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $138.66 / $173.60 / $295.07	Facility	AS	$138.66	$173.60	$295.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $811.00 / $1,046.72 / $3,554.57	Facility		$811.00	$1,046.72	$3,554.57
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