Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,353.05 / $6,827.70 / $30,682.00	Facility		$1,353.05	$6,827.70	$30,682.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,360.16	Facility		$640.00	$640.00	$1,360.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $135.00 / $135.00 / $135.00	Facility	AS	$135.00	$135.00	$135.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,145.56 / $1,466.32 / $1,726.01	Professional		$1,145.56	$1,466.32	$1,726.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,239.58 / $1,582.56 / $2,300.19	Facility		$1,239.58	$1,582.56	$2,300.19
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $274.20 / $323.75 / $623.54	Facility	80	$274.20	$323.75	$623.54
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $191.94 / $226.62 / $436.49	Facility	AS	$191.94	$226.62	$436.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,130.79 / $1,525.93 / $5,129.01	Facility		$1,130.79	$1,525.93	$5,129.01
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