Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.49 / $5,087.00 / $8,294.00	Facility		$723.49	$5,087.00	$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 / $750.29	Facility		$640.00	$640.00	$750.29
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.48 / $74.48 / $74.48	Facility	AS	$74.48	$74.48	$74.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $633.77 / $811.70 / $959.28	Professional		$633.77	$811.70	$959.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $684.63 / $848.12 / $1,263.01	Facility		$684.63	$848.12	$1,263.01
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $110.93 / $134.26 / $233.79	Facility	AS	$110.93	$134.26	$233.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $640.98 / $839.83 / $2,849.65	Facility		$640.98	$839.83	$2,849.65
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,621.00 / $17,192.00	Facility		$5,121.00	$8,621.00	$17,192.00