Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,373.44 / $5,048.00 / $9,539.00	Facility		$2,373.44	$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 / $2,408.56	Facility		$1,700.00	$1,700.00	$2,408.56
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $238.75 / $238.75 / $238.75	Facility	AS	$238.75	$238.75	$238.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,984.72 / $2,568.46 / $3,035.46	Professional		$1,984.72	$2,568.46	$3,035.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,156.48 / $2,760.97 / $4,015.95	Facility		$2,156.48	$2,760.97	$4,015.95
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $320.45 / $398.72 / $853.03	Facility	AS	$320.45	$398.72	$853.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,970.89 / $2,617.07 / $4,603.49	Facility		$1,970.89	$2,617.07	$4,603.49
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