Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $5,048.00 / $9,975.00	Facility		$1,538.00	$5,048.00	$9,975.00
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 $776.00 / $776.00 / $1,498.78	Facility		$776.00	$776.00	$1,498.78
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $149.31 / $149.31 / $149.31	Facility	AS	$149.31	$149.31	$149.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,263.00 / $1,616.64 / $1,905.28	Professional		$1,263.00	$1,616.64	$1,905.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,309.84 / $1,706.21 / $2,472.86	Facility		$1,309.84	$1,706.21	$2,472.86
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $223.83 / $295.95 / $477.11	Facility	AS	$223.83	$295.95	$477.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,226.05 / $1,694.69 / $5,634.24	Facility		$1,226.05	$1,694.69	$5,634.24
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