Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $5,412.00 / $11,024.00	Facility		$1,538.00	$5,412.00	$11,024.00
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 $776.00 / $776.00 / $927.36	Facility		$776.00	$776.00	$927.36
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.12 / $92.12 / $92.12	Facility	AS	$92.12	$92.12	$92.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.63 / $1,003.05 / $1,183.95	Professional		$783.63	$1,003.05	$1,183.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $837.08 / $1,065.73 / $1,591.21	Facility		$837.08	$1,065.73	$1,591.21
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $127.82 / $175.72 / $293.13	Facility	AS	$127.82	$175.72	$293.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $789.44 / $1,034.54 / $3,550.58	Facility		$789.44	$1,034.54	$3,550.58
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