Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $4,771.00 / $8,294.00	Facility		$1,244.00	$4,771.00	$8,294.00
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 $640.00 / $640.00 / $932.19	Facility		$640.00	$640.00	$932.19
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.87 / $92.87 / $92.87	Facility	AS	$92.87	$92.87	$92.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $788.12 / $1,009.36 / $1,192.88	Professional		$788.12	$1,009.36	$1,192.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $847.38 / $1,063.26 / $1,567.73	Facility		$847.38	$1,063.26	$1,567.73
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $136.37 / $161.84 / $289.98	Facility	AS	$136.37	$161.84	$289.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $788.92 / $1,049.28 / $3,525.44	Facility		$788.92	$1,049.28	$3,525.44
United Facility/Professional Facility Modifier Low / Median / High Price $5,061.00 / $8,168.84 / $17,187.00	Facility		$5,061.00	$8,168.84	$17,187.00