Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.19 / $5,412.00 / $11,024.00	Facility		$1,095.19	$5,412.00	$11,024.00
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 / $1,096.91	Facility		$640.00	$640.00	$1,096.91
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $108.71 / $108.71 / $108.71	Facility	AS	$108.71	$108.71	$108.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $923.06 / $1,181.52 / $1,389.48	Professional		$923.06	$1,181.52	$1,389.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,005.08 / $1,294.32 / $1,881.61	Facility		$1,005.08	$1,294.32	$1,881.61
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $241.75 / $343.08 / $504.78	Facility	80	$241.75	$343.08	$504.78
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $169.23 / $240.16 / $353.34	Facility	AS	$169.23	$240.16	$353.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $961.42 / $1,271.33 / $4,148.38	Facility		$961.42	$1,271.33	$4,148.38
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