Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.05 / $3,991.00 / $8,294.00	Facility		$756.05	$3,991.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $916.89	Facility		$640.00	$640.00	$916.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $91.69 / $91.69 / $91.69	Facility	AS	$91.69	$91.69	$91.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $686.94 / $880.03 / $1,040.04	Professional		$686.94	$880.03	$1,040.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $575.92 / $812.57 / $1,265.43	Facility		$575.92	$812.57	$1,265.43
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $114.20 / $134.05 / $251.84	Facility	AS	$114.20	$134.05	$251.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $508.05 / $677.04 / $2,265.64	Facility		$508.05	$677.04	$2,265.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00