Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,484.98 / $5,360.00 / $10,391.00	Facility		$1,484.98	$5,360.00	$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 / $1,145.58	Facility		$776.00	$776.00	$1,145.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $113.45 / $113.45 / $113.45	Facility	AS	$113.45	$113.45	$113.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $963.95 / $1,233.85 / $1,444.65	Professional		$963.95	$1,233.85	$1,444.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,046.75 / $1,368.07 / $1,955.00	Facility		$1,046.75	$1,368.07	$1,955.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $258.95 / $358.95 / $533.84	Facility	80	$258.95	$358.95	$533.84
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $181.26 / $251.27 / $373.69	Facility	AS	$181.26	$251.27	$373.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,005.06 / $1,314.48 / $4,457.72	Facility		$1,005.06	$1,314.48	$4,457.72
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