Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,273.41 / $4,898.00 / $14,168.11	Facility		$1,273.41	$4,898.00	$14,168.11
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 / $823.12	Facility		$776.00	$776.00	$823.12
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $81.76 / $81.76 / $81.76	Facility	AS	$81.76	$81.76	$81.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $697.31 / $892.56 / $1,044.41	Professional		$697.31	$892.56	$1,044.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $756.78 / $1,015.85 / $1,416.77	Facility		$756.78	$1,015.85	$1,416.77
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $193.33 / $259.01 / $383.04	Facility	80	$193.33	$259.01	$383.04
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $135.33 / $181.30 / $268.13	Facility	AS	$135.33	$181.30	$268.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $709.70 / $979.38 / $3,442.00	Facility		$709.70	$979.38	$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