Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,706.02 / $5,412.00 / $13,209.00	Facility		$1,706.02	$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 / $1,753.40	Facility		$640.00	$640.00	$1,753.40
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $174.63 / $174.63 / $174.63	Facility	AS	$174.63	$174.63	$174.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,462.45 / $1,892.58 / $2,236.69	Professional		$1,462.45	$1,892.58	$2,236.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,561.75 / $1,975.26 / $2,878.91	Facility		$1,561.75	$1,975.26	$2,878.91
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $333.00 / $469.52 / $777.53	Facility	80	$333.00	$469.52	$777.53
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $233.10 / $328.66 / $544.27	Facility	AS	$233.10	$328.66	$544.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,463.37 / $1,896.21 / $6,436.53	Facility		$1,463.37	$1,896.21	$6,436.53
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