Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.93 / $4,796.00 / $15,165.00	Facility		$1,121.93	$4,796.00	$15,165.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.17 / $776.55 / $3,241.00	Facility		$509.17	$776.55	$3,241.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,115.59	Facility		$640.00	$640.00	$1,115.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $109.42 / $109.42 / $109.42	Facility	AS	$109.42	$109.42	$109.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $916.44 / $1,173.04 / $1,385.66	Professional		$916.44	$1,173.04	$1,385.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,008.09 / $1,325.92 / $2,053.13	Facility		$1,008.09	$1,325.92	$2,053.13
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $249.76 / $302.80 / $514.16	Facility	80	$249.76	$302.80	$514.16
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $174.83 / $211.96 / $359.92	Facility	AS	$174.83	$211.96	$359.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $920.09 / $1,272.96 / $2,165.62	Facility		$920.09	$1,272.96	$2,165.62
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,375.00	Facility		$231.00	$1,045.00	$2,375.00