Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,246.85 / $5,282.00 / $9,539.00	Facility		$1,246.85	$5,282.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $9,527.62 / $13,270.04	Facility		$6,385.00	$9,527.62	$13,270.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,271.82	Facility		$640.00	$640.00	$1,271.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $126.39 / $126.39 / $126.39	Facility	AS	$126.39	$126.39	$126.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,057.54 / $1,367.23 / $1,615.82	Professional		$1,057.54	$1,367.23	$1,615.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,159.30 / $1,467.13 / $2,281.75	Facility		$1,159.30	$1,467.13	$2,281.75
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $169.68 / $275.48 / $456.79	Facility	AS	$169.68	$275.48	$456.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,063.14 / $1,394.36 / $2,639.93	Facility		$1,063.14	$1,394.36	$2,639.93
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