Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.84 / $4,926.00 / $10,920.86	Facility		$1,123.84	$4,926.00	$10,920.86
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 / $1,017.08	Facility		$640.00	$640.00	$1,017.08
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $100.81 / $100.81 / $100.81	Facility	AS	$100.81	$100.81	$100.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $854.61 / $1,093.90 / $1,286.51	Professional		$854.61	$1,093.90	$1,286.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $1,185.79 / $1,704.88	Facility		$927.00	$1,185.79	$1,704.88
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $224.89 / $311.20 / $466.57	Facility	80	$224.89	$311.20	$466.57
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $157.41 / $217.84 / $326.60	Facility	AS	$157.41	$217.84	$326.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $867.87 / $1,155.76 / $3,917.43	Facility		$867.87	$1,155.76	$3,917.43
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