Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.19 / $5,087.00 / $8,294.00	Facility		$839.19	$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 / $854.08	Facility		$640.00	$640.00	$854.08
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.56 / $84.56 / $84.56	Facility	AS	$84.56	$84.56	$84.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $722.28 / $924.52 / $1,090.34	Professional		$722.28	$924.52	$1,090.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $769.13 / $991.77 / $1,474.78	Facility		$769.13	$991.77	$1,474.78
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $129.34 / $171.97 / $270.89	Facility	AS	$129.34	$171.97	$270.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $740.51 / $960.82 / $3,260.29	Facility		$740.51	$960.82	$3,260.29
United Facility/Professional Facility Modifier Low / Median / High Price $5,061.00 / $8,168.84 / $17,187.00	Facility		$5,061.00	$8,168.84	$17,187.00