Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.91 / $5,412.00 / $11,425.00	Facility		$1,386.91	$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 / $1,390.85	Facility		$640.00	$640.00	$1,390.85
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $137.94 / $137.94 / $137.94	Facility	AS	$137.94	$137.94	$137.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,170.55 / $1,498.30 / $1,762.71	Professional		$1,170.55	$1,498.30	$1,762.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,272.84 / $1,616.54 / $2,311.31	Facility		$1,272.84	$1,616.54	$2,311.31
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $302.79 / $433.14 / $639.11	Facility	80	$302.79	$433.14	$639.11
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $211.95 / $303.20 / $447.38	Facility	AS	$211.95	$303.20	$447.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,147.35 / $1,554.55 / $5,252.91	Facility		$1,147.35	$1,554.55	$5,252.91
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