Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,887.86 / $8,294.00 / $30,682.00	Facility		$1,887.86	$8,294.00	$30,682.00
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 / $1,891.01	Facility		$640.00	$640.00	$1,891.01
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $187.01 / $187.01 / $187.01	Facility	AS	$187.01	$187.01	$187.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,585.10 / $2,028.93 / $2,382.65	Professional		$1,585.10	$2,028.93	$2,382.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,725.32 / $2,231.11 / $3,454.78	Facility		$1,725.32	$2,231.11	$3,454.78
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $390.60 / $548.40 / $870.67	Facility	80	$390.60	$548.40	$870.67
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $273.42 / $383.88 / $609.47	Facility	AS	$273.42	$383.88	$609.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,533.80 / $2,132.92 / $7,158.85	Facility		$1,533.80	$2,132.92	$7,158.85
United Facility/Professional Facility Modifier Low / Median / High Price $10,459.00 / $26,911.00 / $43,534.00	Facility		$10,459.00	$26,911.00	$43,534.00