Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,799.52 / $5,087.00 / $10,767.00	Facility		$1,799.52	$5,087.00	$10,767.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,875.97 / $8,404.25 / $11,705.41	Facility		$5,875.97	$8,404.25	$11,705.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,802.76	Facility		$640.00	$640.00	$1,802.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $178.36 / $178.36 / $178.36	Facility	AS	$178.36	$178.36	$178.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,512.47 / $1,935.96 / $2,274.25	Professional		$1,512.47	$1,935.96	$2,274.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,646.49 / $2,105.44 / $3,082.39	Facility		$1,646.49	$2,105.44	$3,082.39
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $363.20 / $429.00 / $829.80	Facility	80	$363.20	$429.00	$829.80
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $254.24 / $300.30 / $580.86	Facility	AS	$254.24	$300.30	$580.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,455.39 / $2,029.13 / $3,889.30	Facility		$1,455.39	$2,029.13	$3,889.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00