Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,449.59 / $5,179.00 / $10,637.11	Facility		$1,449.59	$5,179.00	$10,637.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $944.77	Facility		$900.00	$900.00	$944.77
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $94.40 / $94.40 / $94.40	Facility	AS	$94.40	$94.40	$94.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $773.88 / $990.57 / $1,170.46	Professional		$773.88	$990.57	$1,170.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $855.58 / $1,089.82 / $1,559.47	Facility		$855.58	$1,089.82	$1,559.47
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $199.83 / $263.80 / $429.43	Facility	80	$199.83	$263.80	$429.43
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $139.88 / $184.66 / $300.60	Facility	AS	$139.88	$184.66	$300.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $770.58 / $1,038.42 / $3,607.56	Facility		$770.58	$1,038.42	$3,607.56
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