Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.52 / $3,226.00 / $8,294.00	Facility		$507.52	$3,226.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $767.96	Facility		$640.00	$640.00	$767.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $76.80 / $76.80 / $76.80	Facility	AS	$76.80	$76.80	$76.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $842.23 / $1,089.14 / $1,287.17	Professional		$842.23	$1,089.14	$1,287.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $507.52 / $917.55 / $1,430.51	Facility		$507.52	$917.55	$1,430.51
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $141.93 / $163.07 / $332.88	Facility	AS	$141.93	$163.07	$332.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $446.40 / $605.19 / $2,167.57	Facility		$446.40	$605.19	$2,167.57
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00