Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,161.28 / $5,480.00 / $14,798.00	Facility		$1,161.28	$5,480.00	$14,798.00
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 $969.02 / $969.02 / $1,200.00	Facility		$969.02	$969.02	$1,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $96.34 / $96.34 / $96.34	Facility	AS	$96.34	$96.34	$96.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $818.46 / $1,047.63 / $1,235.60	Professional		$818.46	$1,047.63	$1,235.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $890.89 / $1,140.73 / $1,753.65	Facility		$890.89	$1,140.73	$1,753.65
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $210.35 / $302.80 / $441.47	Facility	80	$210.35	$302.80	$441.47
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $147.25 / $211.96 / $309.02	Facility	AS	$147.25	$211.96	$309.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $851.11 / $1,139.49 / $3,716.01	Facility		$851.11	$1,139.49	$3,716.01
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