Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $4,886.47 / $8,294.00	Facility		$1,244.00	$4,886.47	$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 / $1,191.83	Facility		$640.00	$640.00	$1,191.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.18 / $118.18 / $118.18	Facility	AS	$118.18	$118.18	$118.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,001.88 / $1,282.41 / $1,502.29	Professional		$1,001.88	$1,282.41	$1,502.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,006.24 / $1,351.87 / $1,972.76	Facility		$1,006.24	$1,351.87	$1,972.76
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $170.17 / $258.69 / $383.04	Facility	AS	$170.17	$258.69	$383.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $969.17 / $1,351.57 / $4,427.28	Facility		$969.17	$1,351.57	$4,427.28
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