Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,151.44 / $3,633.00 / $8,294.00	Facility		$1,151.44	$3,633.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $1,133.30	Facility		$572.00	$572.00	$1,133.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.26 / $112.26 / $112.26	Facility	AS	$112.26	$112.26	$112.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $944.80 / $1,209.33 / $1,420.42	Professional		$944.80	$1,209.33	$1,420.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $939.00 / $1,318.31 / $1,885.69	Facility		$939.00	$1,318.31	$1,885.69
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $158.76 / $187.24 / $413.06	Facility	AS	$158.76	$187.24	$413.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $956.86 / $1,313.69 / $4,362.68	Facility		$956.86	$1,313.69	$4,362.68
United Facility/Professional Facility Modifier Low / Median / High Price $6,398.00 / $10,000.00 / $21,639.00	Facility		$6,398.00	$10,000.00	$21,639.00