Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.35 / $3,633.00 / $8,294.00	Facility		$948.35	$3,633.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $971.99	Facility		$640.00	$640.00	$971.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $96.90 / $96.90 / $96.90	Facility	AS	$96.90	$96.90	$96.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.99 / $1,052.10 / $1,243.40	Professional		$812.99	$1,052.10	$1,243.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $884.02 / $1,056.21 / $1,549.27	Facility		$884.02	$1,056.21	$1,549.27
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $125.91 / $160.50 / $349.07	Facility	AS	$125.91	$160.50	$349.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $755.77 / $1,029.21 / $3,650.38	Facility		$755.77	$1,029.21	$3,650.38
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00