Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,141.64 / $5,412.00 / $22,449.00	Facility		$1,141.64	$5,412.00	$22,449.00
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 / $1,154.44	Facility		$640.00	$640.00	$1,154.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $114.57 / $114.57 / $114.57	Facility	AS	$114.57	$114.57	$114.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $969.81 / $1,241.35 / $1,459.25	Professional		$969.81	$1,241.35	$1,459.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,058.09 / $1,357.60 / $1,897.84	Facility		$1,058.09	$1,357.60	$1,897.84
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $189.85 / $195.66 / $369.37	Facility	AS	$189.85	$195.66	$369.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,008.99 / $1,322.76 / $4,371.43	Facility		$1,008.99	$1,322.76	$4,371.43
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,024.00 / $26,537.00	Facility		$7,408.00	$13,024.00	$26,537.00