Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,723.75 / $5,412.00 / $13,209.00	Facility		$1,723.75	$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 $1,700.00 / $1,700.00 / $1,745.28	Facility		$1,700.00	$1,700.00	$1,745.28
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $172.99 / $172.99 / $172.99	Facility	AS	$172.99	$172.99	$172.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,440.90 / $1,864.70 / $2,203.73	Professional		$1,440.90	$1,864.70	$2,203.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,564.31 / $2,000.65 / $2,970.91	Facility		$1,564.31	$2,000.65	$2,970.91
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $223.58 / $334.60 / $621.88	Facility	AS	$223.58	$334.60	$621.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,447.59 / $1,907.34 / $6,467.55	Facility		$1,447.59	$1,907.34	$6,467.55
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