Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,761.71 / $5,168.72 / $14,796.00	Facility		$1,761.71	$5,168.72	$14,796.00
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 / $1,784.89	Facility		$1,700.00	$1,700.00	$1,784.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $177.02 / $177.02 / $177.02	Facility	AS	$177.02	$177.02	$177.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,478.50 / $1,913.35 / $2,261.23	Professional		$1,478.50	$1,913.35	$2,261.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,624.43 / $2,054.64 / $3,132.61	Facility		$1,624.43	$2,054.64	$3,132.61
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $241.36 / $363.58 / $636.87	Facility	AS	$241.36	$363.58	$636.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,482.51 / $1,979.38 / $6,627.20	Facility		$1,482.51	$1,979.38	$6,627.20
United Facility/Professional Facility Modifier Low / Median / High Price $7,621.00 / $20,974.00 / $40,876.00	Facility		$7,621.00	$20,974.00	$40,876.00