Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,950.45 / $5,412.00 / $11,425.00	Facility		$1,950.45	$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 / $1,963.31	Facility		$1,700.00	$1,700.00	$1,963.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $194.61 / $194.61 / $194.61	Facility	AS	$194.61	$194.61	$194.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.94 / $2,098.98 / $2,480.62	Professional		$1,621.94	$2,098.98	$2,480.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,767.52 / $2,265.10 / $3,294.69	Facility		$1,767.52	$2,265.10	$3,294.69
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $257.88 / $375.34 / $698.49	Facility	AS	$257.88	$375.34	$698.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,626.66 / $2,171.94 / $7,306.00	Facility		$1,626.66	$2,171.94	$7,306.00
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