Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.73 / $3,248.00 / $8,294.00	Facility		$733.73	$3,248.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $829.97	Facility		$640.00	$640.00	$829.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.00 / $83.00 / $83.00	Facility	AS	$83.00	$83.00	$83.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $633.40 / $810.75 / $953.94	Professional		$633.40	$810.75	$953.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $549.57 / $771.55 / $1,195.90	Facility		$549.57	$771.55	$1,195.90
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $112.78 / $164.50 / $232.34	Facility	AS	$112.78	$164.50	$232.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $477.91 / $635.99 / $2,332.98	Facility		$477.91	$635.99	$2,332.98
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