Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,123.17 / $5,412.00 / $11,425.00	Facility		$2,123.17	$5,412.00	$11,425.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $20,977.18 / $29,216.95	Facility		$7,142.00	$20,977.18	$29,216.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,125.46	Facility		$640.00	$640.00	$2,125.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $209.94 / $209.94 / $209.94	Facility	AS	$209.94	$209.94	$209.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.36 / $2,276.30 / $2,670.99	Professional		$1,778.36	$2,276.30	$2,670.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,935.51 / $2,510.33 / $3,609.39	Facility		$1,935.51	$2,510.33	$3,609.39
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $473.22 / $621.40 / $979.18	Facility	80	$473.22	$621.40	$979.18
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $331.26 / $434.98 / $685.43	Facility	AS	$331.26	$434.98	$685.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,786.22 / $2,400.60 / $7,420.00	Facility		$1,786.22	$2,400.60	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,074.00 / $21,538.00	Facility		$3,028.00	$11,074.00	$21,538.00