Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,633.63 / $5,048.00 / $9,539.00	Facility		$2,633.63	$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 / $2,655.18	Facility		$640.00	$640.00	$2,655.18
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $262.88 / $262.88 / $262.88	Facility	AS	$262.88	$262.88	$262.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,180.38 / $2,821.67 / $3,334.70	Professional		$2,180.38	$2,821.67	$3,334.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,380.41 / $3,049.48 / $4,302.39	Facility		$2,380.41	$3,049.48	$4,302.39
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $394.13 / $508.48 / $945.76	Facility	AS	$394.13	$508.48	$945.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,084.03 / $2,925.08 / $5,106.95	Facility		$2,084.03	$2,925.08	$5,106.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,959.00 / $5,226.00	Facility		$1,275.00	$2,959.00	$5,226.00