Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,507.64 / $5,412.00 / $11,425.00	Facility		$1,507.64	$5,412.00	$11,425.00
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 / $1,515.50	Facility		$640.00	$640.00	$1,515.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $150.40 / $150.40 / $150.40	Facility	AS	$150.40	$150.40	$150.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,276.13 / $1,633.45 / $1,922.48	Professional		$1,276.13	$1,633.45	$1,922.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,382.28 / $1,759.18 / $2,544.08	Facility		$1,382.28	$1,759.18	$2,544.08
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,471.96 / $3,365.69 / $5,210.51	Facility	50	$2,471.96	$3,365.69	$5,210.51
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $329.60 / $448.76 / $694.73	Facility	80	$329.60	$448.76	$694.73
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $230.72 / $314.13 / $486.31	Facility	AS	$230.72	$314.13	$486.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,247.24 / $1,694.29 / $5,711.64	Facility		$1,247.24	$1,694.29	$5,711.64
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00