Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,736.64 / $4,782.00 / $10,391.00	Facility		$1,736.64	$4,782.00	$10,391.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,130.74	Facility		$776.00	$776.00	$1,130.74
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.33 / $112.33 / $112.33	Facility	AS	$112.33	$112.33	$112.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.07 / $1,221.21 / $1,438.29	Professional		$954.07	$1,221.21	$1,438.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,031.49 / $1,323.86 / $1,901.88	Facility		$1,031.49	$1,323.86	$1,901.88
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $246.47 / $353.62 / $518.51	Facility	80	$246.47	$353.62	$518.51
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $172.53 / $247.53 / $362.96	Facility	AS	$172.53	$247.53	$362.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $987.52 / $1,281.97 / $4,264.31	Facility		$987.52	$1,281.97	$4,264.31
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