Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,523.80 / $4,543.00 / $8,294.00	Facility		$1,523.80	$4,543.00	$8,294.00
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 $640.00 / $640.00 / $1,267.35	Facility		$640.00	$640.00	$1,267.35
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $126.35 / $126.35 / $126.35	Facility	AS	$126.35	$126.35	$126.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.54 / $1,371.57 / $1,620.84	Professional		$1,071.54	$1,371.57	$1,620.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,148.22 / $1,428.80 / $2,133.71	Facility		$1,148.22	$1,428.80	$2,133.71
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $186.27 / $268.80 / $399.66	Facility	AS	$186.27	$268.80	$399.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,078.94 / $1,428.38 / $4,739.85	Facility		$1,078.94	$1,428.38	$4,739.85
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