Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,027.08 / $3,633.00 / $8,920.00	Facility		$1,027.08	$3,633.00	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $695.98 / $1,572.88	Facility		$490.00	$695.98	$1,572.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $69.31 / $69.31 / $69.31	Facility	AS	$69.31	$69.31	$69.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $582.00 / $717.00 / $1,025.67	Professional		$582.00	$717.00	$1,025.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $637.73 / $786.25 / $1,150.77	Facility		$637.73	$786.25	$1,150.77
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $103.62 / $105.78 / $169.85	Facility	AS	$103.62	$105.78	$169.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $629.91 / $757.91 / $1,448.44	Facility		$629.91	$757.91	$1,448.44
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,680.00	Facility		$908.00	$5,815.00	$12,680.00