Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $3,645.00 / $9,539.00	Facility		$1,088.00	$3,645.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $910.85	Facility		$572.00	$572.00	$910.85
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $90.56 / $90.56 / $90.56	Facility	AS	$90.56	$90.56	$90.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $763.88 / $978.26 / $1,156.13	Professional		$763.88	$978.26	$1,156.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $799.24 / $1,007.04 / $1,464.78	Facility		$799.24	$1,007.04	$1,464.78
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $115.92 / $151.18 / $331.09	Facility	AS	$115.92	$151.18	$331.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $768.87 / $993.04 / $3,333.88	Facility		$768.87	$993.04	$3,333.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00