Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.12 / $3,978.00 / $8,920.00	Facility		$643.12	$3,978.00	$8,920.00
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 $694.45 / $694.45 / $776.00	Facility		$694.45	$694.45	$776.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $69.45 / $69.45 / $69.45	Facility	AS	$69.45	$69.45	$69.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $577.16 / $742.83 / $877.89	Professional		$577.16	$742.83	$877.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $454.85 / $692.12 / $1,029.01	Facility		$454.85	$692.12	$1,029.01
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $99.89 / $136.78 / $210.43	Facility	AS	$99.89	$136.78	$210.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $395.65 / $525.53 / $1,770.00	Facility		$395.65	$525.53	$1,770.00
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