Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.93 / $4,796.00 / $8,920.00	Facility		$1,614.93	$4,796.00	$8,920.00
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 $640.00 / $640.00 / $1,773.58	Facility		$640.00	$640.00	$1,773.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $175.11 / $175.11 / $175.11	Facility	AS	$175.11	$175.11	$175.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,482.07 / $1,897.05 / $2,229.92	Professional		$1,482.07	$1,897.05	$2,229.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,614.93 / $2,055.08 / $2,919.24	Facility		$1,614.93	$2,055.08	$2,919.24
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $279.27 / $294.58 / $569.14	Facility	AS	$279.27	$294.58	$569.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,487.15 / $1,993.13 / $3,815.62	Facility		$1,487.15	$1,993.13	$3,815.62
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