Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.55 / $5,040.00 / $10,769.00	Facility		$1,288.55	$5,040.00	$10,769.00
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 $850.72 / $850.72 / $900.00	Facility		$850.72	$850.72	$900.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.26 / $84.26 / $84.26	Facility	AS	$84.26	$84.26	$84.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $719.49 / $922.45 / $1,090.17	Professional		$719.49	$922.45	$1,090.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $761.74 / $953.26 / $1,350.50	Facility		$761.74	$953.26	$1,350.50
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,313.54 / $1,633.13 / $2,852.42	Facility	50	$1,313.54	$1,633.13	$2,852.42
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $175.14 / $217.75 / $380.32	Facility	80	$175.14	$217.75	$380.32
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $122.60 / $152.43 / $266.23	Facility	AS	$122.60	$152.43	$266.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $716.52 / $922.86 / $3,442.00	Facility		$716.52	$922.86	$3,442.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00