Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.84 / $5,412.00 / $11,425.00	Facility		$1,338.84	$5,412.00	$11,425.00
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 $1,374.86 / $1,374.86 / $1,700.00	Facility		$1,374.86	$1,374.86	$1,700.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $136.44 / $136.44 / $136.44	Facility	AS	$136.44	$136.44	$136.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,146.33 / $1,483.48 / $1,753.21	Professional		$1,146.33	$1,483.48	$1,753.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,227.39 / $1,566.44 / $2,383.36	Facility		$1,227.39	$1,566.44	$2,383.36
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $178.22 / $295.45 / $490.63	Facility	AS	$178.22	$295.45	$490.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,143.49 / $1,519.59 / $5,064.35	Facility		$1,143.49	$1,519.59	$5,064.35
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