Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,027.61 / $4,880.57 / $9,539.00	Facility		$2,027.61	$4,880.57	$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 / $2,047.60	Facility		$1,700.00	$1,700.00	$2,047.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $202.96 / $202.96 / $202.96	Facility	AS	$202.96	$202.96	$202.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,689.60 / $2,186.55 / $2,584.10	Professional		$1,689.60	$2,186.55	$2,584.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,837.43 / $2,355.36 / $3,502.00	Facility		$1,837.43	$2,355.36	$3,502.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $269.50 / $375.34 / $727.65	Facility	AS	$269.50	$375.34	$727.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,694.87 / $2,222.46 / $4,150.28	Facility		$1,694.87	$2,222.46	$4,150.28
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