Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $5,040.00 / $10,637.11	Facility		$1,749.00	$5,040.00	$10,637.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,454.27	Facility		$900.00	$900.00	$1,454.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $144.51 / $144.51 / $144.51	Facility	AS	$144.51	$144.51	$144.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,227.41 / $1,571.08 / $1,849.89	Professional		$1,227.41	$1,571.08	$1,849.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,318.58 / $1,688.00 / $2,418.41	Facility		$1,318.58	$1,688.00	$2,418.41
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $308.00 / $346.51 / $665.82	Facility	80	$308.00	$346.51	$665.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $215.60 / $242.56 / $466.07	Facility	AS	$215.60	$242.56	$466.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,194.88 / $1,623.51 / $5,597.33	Facility		$1,194.88	$1,623.51	$5,597.33
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00