Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $4,846.00 / $9,918.00	Facility		$1,088.00	$4,846.00	$9,918.00
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 / $929.72 / $1,572.88	Facility		$490.00	$929.72	$1,572.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.27 / $92.27 / $92.27	Facility	AS	$92.27	$92.27	$92.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $723.43 / $939.44 / $1,375.90	Professional		$723.43	$939.44	$1,375.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $857.78 / $1,056.35 / $1,553.08	Facility		$857.78	$1,056.35	$1,553.08
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $142.29 / $145.28 / $231.04	Facility	AS	$142.29	$145.28	$231.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $840.53 / $1,032.61 / $1,933.20	Facility		$840.53	$1,032.61	$1,933.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $8,246.00 / $17,187.00	Facility		$1,236.00	$8,246.00	$17,187.00