Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,277.54 / $7,170.00 / $26,085.00	Facility		$1,277.54	$7,170.00	$26,085.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,416.45 / $37,782.72 / $52,623.67	Facility		$26,416.45	$37,782.72	$52,623.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,282.30	Facility		$640.00	$640.00	$1,282.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $127.24 / $127.24 / $127.24	Facility	AS	$127.24	$127.24	$127.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,079.89 / $1,382.26 / $1,626.90	Professional		$1,079.89	$1,382.26	$1,626.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,175.94 / $1,494.72 / $2,201.48	Facility		$1,175.94	$1,494.72	$2,201.48
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $278.50 / $400.76 / $588.64	Facility	80	$278.50	$400.76	$588.64
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $194.95 / $280.52 / $412.05	Facility	AS	$194.95	$280.52	$412.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,056.86 / $1,437.07 / $4,836.32	Facility		$1,056.86	$1,437.07	$4,836.32
United Facility/Professional Facility Modifier Low / Median / High Price $7,695.00 / $14,314.00 / $26,411.00	Facility		$7,695.00	$14,314.00	$26,411.00