Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.89 / $5,412.00 / $11,425.00	Facility		$1,090.89	$5,412.00	$11,425.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $20,977.18 / $29,216.95	Facility		$7,142.00	$20,977.18	$29,216.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,094.72	Facility		$640.00	$640.00	$1,094.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $108.42 / $108.42 / $108.42	Facility	AS	$108.42	$108.42	$108.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $919.73 / $1,177.25 / $1,383.76	Professional		$919.73	$1,177.25	$1,383.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,003.19 / $1,338.82 / $2,105.75	Facility		$1,003.19	$1,338.82	$2,105.75
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $173.24 / $239.61 / $352.02	Facility	AS	$173.24	$239.61	$352.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $958.77 / $1,311.75 / $4,136.55	Facility		$958.77	$1,311.75	$4,136.55
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00