Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.75 / $5,087.00 / $12,519.40	Facility		$1,175.75	$5,087.00	$12,519.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $867.84	Facility		$640.00	$640.00	$867.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.46 / $86.46 / $86.46	Facility	AS	$86.46	$86.46	$86.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.94 / $939.44 / $1,107.08	Professional		$733.94	$939.44	$1,107.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $798.89 / $1,017.41 / $1,468.01	Facility		$798.89	$1,017.41	$1,468.01
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $189.47 / $277.33 / $398.73	Facility	80	$189.47	$277.33	$398.73
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $132.63 / $194.14 / $279.11	Facility	AS	$132.63	$194.14	$279.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $764.72 / $987.93 / $3,442.00	Facility		$764.72	$987.93	$3,442.00
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