Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.31 / $5,282.00 / $14,187.00	Facility		$1,083.31	$5,282.00	$14,187.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,861.00 / $28,147.00 / $30,324.00	Facility		$21,861.00	$28,147.00	$30,324.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,091.96	Facility		$640.00	$640.00	$1,091.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $108.27 / $108.27 / $108.27	Facility	AS	$108.27	$108.27	$108.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $919.82 / $1,177.36 / $1,381.15	Professional		$919.82	$1,177.36	$1,381.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $998.17 / $1,280.28 / $1,982.46	Facility		$998.17	$1,280.28	$1,982.46
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $240.80 / $341.47 / $500.36	Facility	80	$240.80	$341.47	$500.36
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $168.56 / $239.03 / $350.25	Facility	AS	$168.56	$239.03	$350.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $924.42 / $1,269.45 / $4,119.47	Facility		$924.42	$1,269.45	$4,119.47
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