Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.00 / $4,654.39 / $15,395.00	Facility		$997.00	$4,654.39	$15,395.00
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 / $1,104.88	Facility		$640.00	$640.00	$1,104.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $109.68 / $109.68 / $109.68	Facility	AS	$109.68	$109.68	$109.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $930.24 / $1,190.71 / $1,399.74	Professional		$930.24	$1,190.71	$1,399.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,014.18 / $1,309.73 / $2,158.21	Facility		$1,014.18	$1,309.73	$2,158.21
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $170.69 / $249.70 / $388.25	Facility	AS	$170.69	$249.70	$388.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $956.46 / $1,259.70 / $4,187.00	Facility		$956.46	$1,259.70	$4,187.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,497.00 / $11,640.00 / $26,411.00	Facility		$7,497.00	$11,640.00	$26,411.00