Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.77 / $1,990.00 / $6,827.70	Facility		$680.77	$1,990.00	$6,827.70
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 $572.00 / $572.00 / $1,051.54	Facility		$572.00	$572.00	$1,051.54
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $105.15 / $105.15 / $105.15	Facility	AS	$105.15	$105.15	$105.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $788.90 / $1,010.99 / $1,194.80	Professional		$788.90	$1,010.99	$1,194.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $668.05 / $927.41 / $1,473.28	Facility		$668.05	$927.41	$1,473.28
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $132.35 / $153.97 / $285.74	Facility	AS	$132.35	$153.97	$285.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $579.47 / $781.33 / $2,632.62	Facility		$579.47	$781.33	$2,632.62
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