Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,785.71 / $6,827.70 / $13,209.00	Facility		$1,785.71	$6,827.70	$13,209.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35,213.08 / $54,001.38 / $75,212.97	Facility		$35,213.08	$54,001.38	$75,212.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,815.20	Facility		$640.00	$640.00	$1,815.20
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $180.56 / $180.56 / $180.56	Facility	AS	$180.56	$180.56	$180.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,512.60 / $1,957.48 / $2,313.39	Professional		$1,512.60	$1,957.48	$2,313.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,630.35 / $2,080.57 / $3,240.00	Facility		$1,630.35	$2,080.57	$3,240.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $346.20 / $558.85 / $811.48	Facility	80	$346.20	$558.85	$811.48
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $242.34 / $391.20 / $568.04	Facility	AS	$242.34	$391.20	$568.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,512.11 / $1,987.77 / $6,706.09	Facility		$1,512.11	$1,987.77	$6,706.09
United Facility/Professional Facility Modifier Low / Median / High Price $7,621.00 / $25,197.00 / $42,546.00	Facility		$7,621.00	$25,197.00	$42,546.00