Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,402.75 / $5,282.00 / $10,637.11	Facility		$1,402.75	$5,282.00	$10,637.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,021.84	Facility		$900.00	$900.00	$1,021.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.08 / $102.08 / $102.08	Facility	AS	$102.08	$102.08	$102.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $863.75 / $1,108.04 / $1,309.50	Professional		$863.75	$1,108.04	$1,309.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $888.43 / $1,132.09 / $1,644.94	Facility		$888.43	$1,132.09	$1,644.94
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $207.07 / $285.00 / $446.42	Facility	80	$207.07	$285.00	$446.42
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $144.94 / $199.50 / $312.50	Facility	AS	$144.94	$199.50	$312.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $871.39 / $1,122.89 / $3,824.16	Facility		$871.39	$1,122.89	$3,824.16
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00