Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,257.77 / $4,703.00 / $8,925.00	Facility		$1,257.77	$4,703.00	$8,925.00
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 / $1,269.92	Facility		$640.00	$640.00	$1,269.92
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $126.27 / $126.27 / $126.27	Facility	AS	$126.27	$126.27	$126.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,073.57 / $1,374.17 / $1,612.14	Professional		$1,073.57	$1,374.17	$1,612.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,104.65 / $1,471.59 / $2,145.84	Facility		$1,104.65	$1,471.59	$2,145.84
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $195.52 / $279.93 / $406.81	Facility	AS	$195.52	$279.93	$406.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,073.58 / $1,455.80 / $4,778.85	Facility		$1,073.58	$1,455.80	$4,778.85
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