Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,871.80 / $5,048.00 / $10,767.00	Facility		$1,871.80	$5,048.00	$10,767.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $1,181.83 / $3,282.37	Facility		$610.00	$1,181.83	$3,282.37
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.18 / $118.18 / $118.18	Facility	AS	$118.18	$118.18	$118.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $995.53 / $1,229.77 / $1,815.62	Professional		$995.53	$1,229.77	$1,815.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,006.06 / $1,353.41 / $2,007.92	Facility		$1,006.06	$1,353.41	$2,007.92
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $183.00 / $258.87 / $427.82	Facility	80	$183.00	$258.87	$427.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $128.10 / $181.21 / $299.47	Facility	AS	$128.10	$181.21	$299.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,009.27 / $1,302.75 / $2,508.82	Facility		$1,009.27	$1,302.75	$2,508.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,466.00 / $21,401.00	Facility		$1,745.00	$10,466.00	$21,401.00