Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.55 / $6,827.70 / $26,085.00	Facility		$2,238.55	$6,827.70	$26,085.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,861.00 / $27,843.00 / $30,195.00	Facility		$21,861.00	$27,843.00	$30,195.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $957.12	Facility		$900.00	$900.00	$957.12
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $95.07 / $95.07 / $95.07	Facility	AS	$95.07	$95.07	$95.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $808.18 / $1,034.47 / $1,219.79	Professional		$808.18	$1,034.47	$1,219.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $879.92 / $1,110.32 / $1,608.53	Facility		$879.92	$1,110.32	$1,608.53
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $138.60 / $162.82 / $304.64	Facility	AS	$138.60	$162.82	$304.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $790.67 / $1,074.54 / $3,668.95	Facility		$790.67	$1,074.54	$3,668.95
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,024.00 / $34,314.00	Facility		$7,408.00	$13,024.00	$34,314.00