Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.94 / $4,771.00 / $9,539.00	Facility		$670.94	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $20,977.18 / $29,216.95	Facility		$7,142.00	$20,977.18	$29,216.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $671.22	Facility		$640.00	$640.00	$671.22
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $65.95 / $65.95 / $65.95	Facility	AS	$65.95	$65.95	$65.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $553.33 / $708.26 / $831.77	Professional		$553.33	$708.26	$831.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $613.70 / $799.17 / $1,140.59	Facility		$613.70	$799.17	$1,140.59
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $110.53 / $145.77 / $216.19	Facility	AS	$110.53	$145.77	$216.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $597.99 / $803.35 / $2,813.45	Facility		$597.99	$803.35	$2,813.45
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