Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,399.06 / $5,412.00 / $13,209.00	Facility		$1,399.06	$5,412.00	$13,209.00
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 $1,412.84 / $1,412.84 / $1,700.00	Facility		$1,412.84	$1,412.84	$1,700.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $140.11 / $140.11 / $140.11	Facility	AS	$140.11	$140.11	$140.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,172.69 / $1,517.60 / $1,793.53	Professional		$1,172.69	$1,517.60	$1,793.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,281.40 / $1,624.93 / $2,446.02	Facility		$1,281.40	$1,624.93	$2,446.02
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $186.48 / $304.33 / $504.03	Facility	AS	$186.48	$304.33	$504.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,175.50 / $1,562.04 / $5,255.52	Facility		$1,175.50	$1,562.04	$5,255.52
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00