Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,704.03 / $6,827.70 / $14,796.00	Facility		$1,704.03	$6,827.70	$14,796.00
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 / $1,734.44	Facility		$640.00	$640.00	$1,734.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $172.62 / $172.62 / $172.62	Facility	AS	$172.62	$172.62	$172.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.61 / $1,870.79 / $2,210.94	Professional		$1,445.61	$1,870.79	$2,210.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,558.68 / $1,989.03 / $3,024.00	Facility		$1,558.68	$1,989.03	$3,024.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $329.60 / $513.60 / $774.56	Facility	80	$329.60	$513.60	$774.56
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $230.72 / $359.52 / $542.19	Facility	AS	$230.72	$359.52	$542.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,446.27 / $1,892.78 / $6,395.88	Facility		$1,446.27	$1,892.78	$6,395.88
United Facility/Professional Facility Modifier Low / Median / High Price $10,644.00 / $20,974.00 / $40,876.00	Facility		$10,644.00	$20,974.00	$40,876.00