Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,025.97 / $4,771.00 / $9,539.00	Facility		$1,025.97	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $54,001.38 / $75,212.97	Facility		$7,142.00	$54,001.38	$75,212.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,021.03	Facility		$640.00	$640.00	$1,021.03
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $100.07 / $100.07 / $100.07	Facility	AS	$100.07	$100.07	$100.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $838.33 / $1,073.06 / $1,257.44	Professional		$838.33	$1,073.06	$1,257.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $918.21 / $1,198.32 / $1,696.66	Facility		$918.21	$1,198.32	$1,696.66
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $235.25 / $309.60 / $472.53	Facility	80	$235.25	$309.60	$472.53
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $164.68 / $216.72 / $330.77	Facility	AS	$164.68	$216.72	$330.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $864.24 / $1,179.43 / $3,967.63	Facility		$864.24	$1,179.43	$3,967.63
United Facility/Professional Facility Modifier Low / Median / High Price $10,071.00 / $17,777.00 / $35,289.00	Facility		$10,071.00	$17,777.00	$35,289.00