Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.37 / $5,048.00 / $9,539.00	Facility		$2,220.37	$5,048.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,219.06	Facility		$640.00	$640.00	$2,219.06
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $218.70 / $218.70 / $218.70	Facility	AS	$218.70	$218.70	$218.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,830.45 / $2,342.98 / $2,765.49	Professional		$1,830.45	$2,342.98	$2,765.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,988.86 / $2,571.06 / $3,698.90	Facility		$1,988.86	$2,571.06	$3,698.90
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $313.74 / $443.38 / $796.12	Facility	AS	$313.74	$443.38	$796.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,836.86 / $2,463.80 / $4,462.00	Facility		$1,836.86	$2,463.80	$4,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.00 / $3,295.00 / $5,790.00	Facility		$1,584.00	$3,295.00	$5,790.00