Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,398.64 / $5,412.00 / $11,425.00	Facility		$1,398.64	$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 / $1,399.57	Facility		$640.00	$640.00	$1,399.57
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $138.28 / $138.28 / $138.28	Facility	AS	$138.28	$138.28	$138.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,170.57 / $1,498.33 / $1,757.93	Professional		$1,170.57	$1,498.33	$1,757.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,276.95 / $1,659.58 / $2,377.69	Facility		$1,276.95	$1,659.58	$2,377.69
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $314.32 / $398.00 / $645.00	Facility	80	$314.32	$398.00	$645.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $220.02 / $278.60 / $451.50	Facility	AS	$220.02	$278.60	$451.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,224.30 / $1,634.79 / $5,306.43	Facility		$1,224.30	$1,634.79	$5,306.43
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