Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.00 / $5,087.00 / $8,925.00	Facility		$997.00	$5,087.00	$8,925.00
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 / $669.94	Facility		$640.00	$640.00	$669.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.47 / $66.47 / $66.47	Facility	AS	$66.47	$66.47	$66.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $566.44 / $725.13 / $856.97	Professional		$566.44	$725.13	$856.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $618.59 / $777.47 / $1,172.06	Facility		$618.59	$777.47	$1,172.06
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $99.81 / $146.08 / $209.75	Facility	AS	$99.81	$146.08	$209.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $567.83 / $752.17 / $2,756.28	Facility		$567.83	$752.17	$2,756.28
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