Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.14 / $5,131.10 / $10,276.44	Facility		$1,060.14	$5,131.10	$10,276.44
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 / $1,067.22	Facility		$776.00	$776.00	$1,067.22
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $105.84 / $105.84 / $105.84	Facility	AS	$105.84	$105.84	$105.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $903.88 / $1,156.97 / $1,359.55	Professional		$903.88	$1,156.97	$1,359.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $973.13 / $1,260.00 / $1,792.50	Facility		$973.13	$1,260.00	$1,792.50
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $242.42 / $275.80 / $489.59	Facility	80	$242.42	$275.80	$489.59
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $169.69 / $193.06 / $342.71	Facility	AS	$169.69	$193.06	$342.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $901.63 / $1,210.46 / $4,098.29	Facility		$901.63	$1,210.46	$4,098.29
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