Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.77 / $3,645.00 / $8,294.00	Facility		$804.77	$3,645.00	$8,294.00
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 $425.00 / $786.77 / $1,572.88	Facility		$425.00	$786.77	$1,572.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $77.44 / $77.44 / $77.44	Facility	AS	$77.44	$77.44	$77.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $601.82 / $788.04 / $1,163.74	Professional		$601.82	$788.04	$1,163.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $679.53 / $880.94 / $1,326.60	Facility		$679.53	$880.94	$1,326.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $106.40 / $122.83 / $194.34	Facility	AS	$106.40	$122.83	$194.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $689.57 / $867.40 / $1,612.39	Facility		$689.57	$867.40	$1,612.39
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