Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,422.56 / $5,587.00 / $12,243.09	Facility		$1,422.56	$5,587.00	$12,243.09
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 / $1,433.27	Facility		$640.00	$640.00	$1,433.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $142.16 / $142.16 / $142.16	Facility	AS	$142.16	$142.16	$142.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,205.55 / $1,543.10 / $1,815.66	Professional		$1,205.55	$1,543.10	$1,815.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,313.88 / $1,686.22 / $2,502.73	Facility		$1,313.88	$1,686.22	$2,502.73
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $219.47 / $313.60 / $458.98	Facility	AS	$219.47	$313.60	$458.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,255.98 / $1,625.71 / $5,398.11	Facility		$1,255.98	$1,625.71	$5,398.11
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