Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.63 / $5,587.00 / $11,425.00	Facility		$915.63	$5,587.00	$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 / $928.11	Facility		$640.00	$640.00	$928.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.05 / $92.05 / $92.05	Facility	AS	$92.05	$92.05	$92.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.67 / $1,003.10 / $1,184.13	Professional		$783.67	$1,003.10	$1,184.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $855.32 / $1,090.95 / $1,601.24	Facility		$855.32	$1,090.95	$1,601.24
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $140.38 / $202.75 / $295.20	Facility	AS	$140.38	$202.75	$295.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $814.49 / $1,090.22 / $3,530.53	Facility		$814.49	$1,090.22	$3,530.53
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