Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,376.23 / $5,189.52 / $9,347.59	Facility		$1,376.23	$5,189.52	$9,347.59
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 / $883.12	Facility		$776.00	$776.00	$883.12
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $87.84 / $87.84 / $87.84	Facility	AS	$87.84	$87.84	$87.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $748.43 / $957.99 / $1,123.93	Professional		$748.43	$957.99	$1,123.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $809.55 / $1,038.33 / $1,515.56	Facility		$809.55	$1,038.33	$1,515.56
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $198.23 / $276.27 / $406.08	Facility	80	$198.23	$276.27	$406.08
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $138.76 / $193.40 / $284.25	Facility	AS	$138.76	$193.40	$284.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $751.85 / $1,006.56 / $3,442.00	Facility		$751.85	$1,006.56	$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