Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.59 / $4,847.04 / $22,263.26	Facility		$1,022.59	$4,847.04	$22,263.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,039.11 / $1,039.11 / $1,700.00	Facility		$1,039.11	$1,039.11	$1,700.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $103.31 / $103.31 / $103.31	Facility	AS	$103.31	$103.31	$103.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $876.73 / $1,122.21 / $1,321.18	Professional		$876.73	$1,122.21	$1,321.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $955.71 / $1,200.89 / $1,694.48	Facility		$955.71	$1,200.89	$1,694.48
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $224.92 / $279.32 / $472.36	Facility	80	$224.92	$279.32	$472.36
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $157.44 / $195.52 / $330.65	Facility	AS	$157.44	$195.52	$330.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $883.80 / $1,168.26 / $4,003.33	Facility		$883.80	$1,168.26	$4,003.33
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