Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,049.68 / $5,412.00 / $11,024.00	Facility		$1,049.68	$5,412.00	$11,024.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,051.52	Facility		$490.00	$610.00	$1,051.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.94 / $102.94 / $102.94	Facility	AS	$102.94	$102.94	$102.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $850.98 / $1,051.21 / $1,554.27	Professional		$850.98	$1,051.21	$1,554.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $923.05 / $1,188.43 / $1,767.72	Facility		$923.05	$1,188.43	$1,767.72
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $137.47 / $164.88 / $259.26	Facility	AS	$137.47	$164.88	$259.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $905.17 / $1,146.58 / $2,152.17	Facility		$905.17	$1,146.58	$2,152.17
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