Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.00 / $3,970.00 / $8,294.00	Facility		$837.00	$3,970.00	$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 / $807.58	Facility		$640.00	$640.00	$807.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.34 / $80.34 / $80.34	Facility	AS	$80.34	$80.34	$80.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.78 / $873.96 / $1,030.72	Professional		$682.78	$873.96	$1,030.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $746.50 / $941.28 / $1,464.97	Facility		$746.50	$941.28	$1,464.97
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $122.51 / $154.00 / $258.16	Facility	AS	$122.51	$154.00	$258.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $692.94 / $913.44 / $3,346.57	Facility		$692.94	$913.44	$3,346.57
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00