Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,107.35 / $7,438.00 / $15,742.00	Facility		$2,107.35	$7,438.00	$15,742.00
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 / $1,356.00 / $3,282.37	Facility		$610.00	$1,356.00	$3,282.37
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.93 / $118.93 / $118.93	Facility	AS	$118.93	$118.93	$118.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $995.00 / $1,214.36 / $1,811.46	Professional		$995.00	$1,214.36	$1,811.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,097.85 / $1,419.47 / $2,117.52	Facility		$1,097.85	$1,419.47	$2,117.52
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $283.89 / $334.40 / $423.50	Facility	80	$283.89	$334.40	$423.50
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $195.45 / $231.00 / $296.45	Facility	AS	$195.45	$231.00	$296.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,079.34 / $1,379.90 / $2,466.17	Facility		$1,079.34	$1,379.90	$2,466.17
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