Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,484.99 / $8,294.00 / $29,041.30	Facility		$1,484.99	$8,294.00	$29,041.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,875.00 / $30,419.03 / $42,580.58	Facility		$13,875.00	$30,419.03	$42,580.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,461.02	Facility		$490.00	$610.00	$1,461.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $143.09 / $143.09 / $143.09	Facility	AS	$143.09	$143.09	$143.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,177.45 / $1,454.50 / $2,125.42	Professional		$1,177.45	$1,454.50	$2,125.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,325.28 / $1,657.39 / $2,429.69	Facility		$1,325.28	$1,657.39	$2,429.69
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $306.30 / $314.33 / $521.27	Facility	80	$306.30	$314.33	$521.27
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $212.22 / $220.03 / $364.89	Facility	AS	$212.22	$220.03	$364.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,299.18 / $1,605.81 / $2,993.63	Facility		$1,299.18	$1,605.81	$2,993.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $12,407.00 / $26,244.00	Facility		$2,020.00	$12,407.00	$26,244.00