Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.92 / $3,633.00 / $8,294.00	Facility		$811.92	$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 $860.78 / $860.78 / $900.00	Facility		$860.78	$860.78	$900.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $85.67 / $85.67 / $85.67	Facility	AS	$85.67	$85.67	$85.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $729.31 / $929.36 / $1,098.33	Professional		$729.31	$929.36	$1,098.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $784.83 / $1,030.68 / $1,462.20	Facility		$784.83	$1,030.68	$1,462.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $140.71 / $171.15 / $311.66	Facility	AS	$140.71	$171.15	$311.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $732.95 / $1,040.98 / $1,882.87	Facility		$732.95	$1,040.98	$1,882.87
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,671.00 / $21,639.00	Facility		$6,423.00	$11,671.00	$21,639.00