Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,304.31 / $4,771.00 / $9,539.00	Facility		$1,304.31	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,309.66	Facility		$490.00	$610.00	$1,309.66
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $128.44 / $128.44 / $128.44	Facility	AS	$128.44	$128.44	$128.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,079.42 / $1,308.96 / $1,884.16	Professional		$1,079.42	$1,308.96	$1,884.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,083.20 / $1,426.64 / $2,157.37	Facility		$1,083.20	$1,426.64	$2,157.37
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $200.40 / $281.85 / $458.72	Facility	80	$200.40	$281.85	$458.72
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $140.28 / $197.30 / $321.10	Facility	AS	$140.28	$197.30	$321.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,038.31 / $1,382.60 / $2,540.88	Facility		$1,038.31	$1,382.60	$2,540.88
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00