Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.31 / $5,412.00 / $13,209.00	Facility		$1,250.31	$5,412.00	$13,209.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,566.52 / $37,782.72 / $52,623.67	Facility		$26,566.52	$37,782.72	$52,623.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,260.22	Facility		$640.00	$640.00	$1,260.22
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $124.78 / $124.78 / $124.78	Facility	AS	$124.78	$124.78	$124.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,063.28 / $1,361.00 / $1,595.89	Professional		$1,063.28	$1,361.00	$1,595.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,151.78 / $1,486.35 / $2,204.60	Facility		$1,151.78	$1,486.35	$2,204.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $189.84 / $257.45 / $404.40	Facility	AS	$189.84	$257.45	$404.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,062.35 / $1,446.89 / $4,768.80	Facility		$1,062.35	$1,446.89	$4,768.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00