Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,342.69 / $5,048.00 / $9,539.00	Facility		$2,342.69	$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 $1,700.00 / $1,700.00 / $2,375.41	Facility		$1,700.00	$1,700.00	$2,375.41
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $235.29 / $235.29 / $235.29	Facility	AS	$235.29	$235.29	$235.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,961.77 / $2,538.76 / $3,000.35	Professional		$1,961.77	$2,538.76	$3,000.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,128.98 / $2,713.11 / $3,960.43	Facility		$2,128.98	$2,713.11	$3,960.43
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $309.54 / $390.11 / $840.93	Facility	AS	$309.54	$390.11	$840.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,948.84 / $2,573.27 / $4,544.60	Facility		$1,948.84	$2,573.27	$4,544.60
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