Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,527.50 / $5,919.82 / $12,600.00	Facility		$1,527.50	$5,919.82	$12,600.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $54,001.38 / $75,212.97	Facility		$7,142.00	$54,001.38	$75,212.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,548.07	Facility		$640.00	$640.00	$1,548.07
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $153.38 / $153.38 / $153.38	Facility	AS	$153.38	$153.38	$153.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,289.18 / $1,659.83 / $1,961.62	Professional		$1,289.18	$1,659.83	$1,961.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,265.15 / $1,619.15 / $2,495.37	Facility		$1,265.15	$1,619.15	$2,495.37
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,891.20 / $2,749.24 / $5,246.60	Facility	50	$1,891.20	$2,749.24	$5,246.60
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $252.16 / $366.57 / $699.55	Facility	80	$252.16	$366.57	$699.55
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $176.51 / $256.60 / $489.68	Facility	AS	$176.51	$256.60	$489.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,065.85 / $1,512.63 / $5,779.49	Facility		$1,065.85	$1,512.63	$5,779.49
United Facility/Professional Facility Modifier Low / Median / High Price $7,621.00 / $20,974.00 / $40,876.00	Facility		$7,621.00	$20,974.00	$40,876.00