Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,107.69 / $12,133.50 / $27,540.00	Facility		$2,107.69	$12,133.50	$27,540.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,861.00 / $27,843.00 / $30,195.00	Facility		$21,861.00	$27,843.00	$30,195.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,300.96	Facility		$640.00	$640.00	$1,300.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $128.96 / $128.96 / $128.96	Facility	AS	$128.96	$128.96	$128.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,094.15 / $1,400.51 / $1,647.09	Professional		$1,094.15	$1,400.51	$1,647.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,186.72 / $1,539.55 / $2,260.91	Facility		$1,186.72	$1,539.55	$2,260.91
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,057.63 / $2,967.00 / $4,514.77	Facility	50	$2,057.63	$2,967.00	$4,514.77
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $274.35 / $395.60 / $601.97	Facility	80	$274.35	$395.60	$601.97
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $192.05 / $276.92 / $421.38	Facility	AS	$192.05	$276.92	$421.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,069.55 / $1,449.93 / $5,053.60	Facility		$1,069.55	$1,449.93	$5,053.60
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