Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.75 / $5,480.00 / $14,798.00	Facility		$1,386.75	$5,480.00	$14,798.00
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 $132.97 / $132.97 / $132.97	Facility	AS	$132.97	$132.97	$132.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,098.91 / $1,357.47 / $2,036.31	Professional		$1,098.91	$1,357.47	$2,036.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,246.41 / $1,636.28 / $2,439.88	Facility		$1,246.41	$1,636.28	$2,439.88
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $325.27 / $387.34 / $485.60	Facility	80	$325.27	$387.34	$485.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $223.94 / $253.29 / $339.92	Facility	AS	$223.94	$253.29	$339.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,212.79 / $1,582.69 / $2,780.80	Facility		$1,212.79	$1,582.69	$2,780.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,439.00 / $21,401.00	Facility		$1,745.00	$10,439.00	$21,401.00