Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,887.61 / $5,412.00 / $11,425.00	Facility		$1,887.61	$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 $1,700.00 / $1,700.00 / $1,911.91	Facility		$1,700.00	$1,700.00	$1,911.91
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $189.62 / $189.62 / $189.62	Facility	AS	$189.62	$189.62	$189.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,573.89 / $2,036.80 / $2,407.13	Professional		$1,573.89	$2,036.80	$2,407.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,714.14 / $2,192.48 / $3,189.06	Facility		$1,714.14	$2,192.48	$3,189.06
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $249.34 / $375.34 / $680.02	Facility	AS	$249.34	$375.34	$680.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,584.24 / $2,112.01 / $7,089.72	Facility		$1,584.24	$2,112.01	$7,089.72
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