Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,743.00 / $5,087.00 / $10,127.62	Facility		$1,743.00	$5,087.00	$10,127.62
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 / $1,112.59	Facility		$640.00	$640.00	$1,112.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $111.14 / $111.14 / $111.14	Facility	AS	$111.14	$111.14	$111.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $940.59 / $1,203.96 / $1,420.99	Professional		$940.59	$1,203.96	$1,420.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,019.89 / $1,293.83 / $1,885.78	Facility		$1,019.89	$1,293.83	$1,885.78
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $235.94 / $345.71 / $504.31	Facility	80	$235.94	$345.71	$504.31
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $165.16 / $242.00 / $353.01	Facility	AS	$165.16	$242.00	$353.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $960.32 / $1,277.19 / $4,179.77	Facility		$960.32	$1,277.19	$4,179.77
United Facility/Professional Facility Modifier Low / Median / High Price $7,381.00 / $12,350.00 / $26,537.00	Facility		$7,381.00	$12,350.00	$26,537.00