Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $5,282.00 / $9,347.59	Facility		$1,538.00	$5,282.00	$9,347.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,018.50	Facility		$776.00	$776.00	$1,018.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $101.30 / $101.30 / $101.30	Facility	AS	$101.30	$101.30	$101.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $860.19 / $1,101.04 / $1,298.67	Professional		$860.19	$1,101.04	$1,298.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $922.99 / $1,184.52 / $1,700.00	Facility		$922.99	$1,184.52	$1,700.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $152.74 / $220.64 / $324.06	Facility	AS	$152.74	$220.64	$324.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $863.79 / $1,144.65 / $3,898.65	Facility		$863.79	$1,144.65	$3,898.65
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