Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $6,718.00 / $16,733.00	Facility		$1,538.00	$6,718.00	$16,733.00
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 / $1,126.75	Facility		$640.00	$640.00	$1,126.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $111.77 / $111.77 / $111.77	Facility	AS	$111.77	$111.77	$111.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $951.75 / $1,218.24 / $1,432.13	Professional		$951.75	$1,218.24	$1,432.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,034.08 / $1,322.19 / $1,839.57	Facility		$1,034.08	$1,322.19	$1,839.57
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $184.60 / $192.01 / $358.27	Facility	AS	$184.60	$192.01	$358.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $990.19 / $1,297.15 / $4,246.62	Facility		$990.19	$1,297.15	$4,246.62
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