Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.41 / $5,980.00 / $14,867.45	Facility		$1,698.41	$5,980.00	$14,867.45
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 $1,108.89 / $1,108.89 / $1,200.00	Facility		$1,108.89	$1,108.89	$1,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $110.09 / $110.09 / $110.09	Facility	AS	$110.09	$110.09	$110.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $936.33 / $1,198.50 / $1,414.56	Professional		$936.33	$1,198.50	$1,414.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,010.40 / $1,291.55 / $1,966.00	Facility		$1,010.40	$1,291.55	$1,966.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $166.67 / $242.04 / $352.26	Facility	AS	$166.67	$242.04	$352.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $942.90 / $1,248.14 / $4,236.80	Facility		$942.90	$1,248.14	$4,236.80
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,671.00 / $21,639.00	Facility		$6,423.00	$11,671.00	$21,639.00