Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,182.71 / $5,474.00 / $10,871.86	Facility		$2,182.71	$5,474.00	$10,871.86
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 / $1,200.77	Facility		$900.00	$900.00	$1,200.77
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $119.08 / $119.08 / $119.08	Facility	AS	$119.08	$119.08	$119.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,015.37 / $1,299.67 / $1,533.58	Professional		$1,015.37	$1,299.67	$1,533.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,093.33 / $1,356.98 / $1,928.94	Facility		$1,093.33	$1,356.98	$1,928.94
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,892.27 / $2,374.65 / $4,077.00	Facility	50	$1,892.27	$2,374.65	$4,077.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $252.30 / $316.62 / $543.60	Facility	80	$252.30	$316.62	$543.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $176.61 / $221.63 / $380.52	Facility	AS	$176.61	$221.63	$380.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,017.18 / $1,316.65 / $4,475.49	Facility		$1,017.18	$1,316.65	$4,475.49
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