Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,415.89 / $8,101.00 / $23,699.00	Facility		$1,415.89	$8,101.00	$23,699.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27,911.00 / $35,168.00 / $39,556.00	Facility		$27,911.00	$35,168.00	$39,556.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,438.48	Facility		$640.00	$640.00	$1,438.48
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $142.94 / $142.94 / $142.94	Facility	AS	$142.94	$142.94	$142.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,195.03 / $1,545.56 / $1,826.57	Professional		$1,195.03	$1,545.56	$1,826.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,323.92 / $1,673.33 / $2,591.67	Facility		$1,323.92	$1,673.33	$2,591.67
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $308.68 / $444.36 / $646.22	Facility	80	$308.68	$444.36	$646.22
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $216.07 / $311.05 / $452.35	Facility	AS	$216.07	$311.05	$452.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,243.18 / $1,672.79 / $5,347.49	Facility		$1,243.18	$1,672.79	$5,347.49
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,024.00 / $27,201.00	Facility		$7,408.00	$13,024.00	$27,201.00