Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,689.02 / $5,412.00 / $13,209.00	Facility		$1,689.02	$5,412.00	$13,209.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $37,782.72 / $52,623.67	Facility		$7,142.00	$37,782.72	$52,623.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,724.24	Facility		$640.00	$640.00	$1,724.24
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.46 / $171.46 / $171.46	Facility	AS	$171.46	$171.46	$171.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,432.91 / $1,854.36 / $2,191.51	Professional		$1,432.91	$1,854.36	$2,191.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,552.65 / $1,959.96 / $2,850.85	Facility		$1,552.65	$1,959.96	$2,850.85
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $348.40 / $406.32 / $768.84	Facility	80	$348.40	$406.32	$768.84
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $243.88 / $284.42 / $538.19	Facility	AS	$243.88	$284.42	$538.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,438.03 / $1,888.23 / $6,367.07	Facility		$1,438.03	$1,888.23	$6,367.07
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