Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,424.76 / $5,412.00 / $11,024.00	Facility		$1,424.76	$5,412.00	$11,024.00
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 $1,446.52 / $1,446.52 / $1,700.00	Facility		$1,446.52	$1,446.52	$1,700.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $143.87 / $143.87 / $143.87	Facility	AS	$143.87	$143.87	$143.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,205.27 / $1,559.76 / $1,843.35	Professional		$1,205.27	$1,559.76	$1,843.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,310.70 / $1,658.03 / $2,533.30	Facility		$1,310.70	$1,658.03	$2,533.30
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $189.28 / $311.66 / $516.46	Facility	AS	$189.28	$311.66	$516.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,203.96 / $1,598.05 / $5,348.12	Facility		$1,203.96	$1,598.05	$5,348.12
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