Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.00 / $3,633.00 / $8,294.00	Facility		$655.00	$3,633.00	$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 $481.68 / $481.68 / $572.00	Facility		$481.68	$481.68	$572.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.17 / $48.17 / $48.17	Facility	AS	$48.17	$48.17	$48.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.72 / $516.76 / $608.11	Professional		$403.72	$516.76	$608.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $442.71 / $558.48 / $842.14	Facility		$442.71	$558.48	$842.14
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $71.59 / $104.89 / $150.93	Facility	AS	$71.59	$104.89	$150.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $412.79 / $556.22 / $1,950.65	Facility		$412.79	$556.22	$1,950.65
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00