Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,309.96 / $4,771.00 / $9,539.00	Facility		$1,309.96	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,307.42	Facility		$490.00	$610.00	$1,307.42
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $128.13 / $128.13 / $128.13	Facility	AS	$128.13	$128.13	$128.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,053.36 / $1,287.06 / $1,898.40	Professional		$1,053.36	$1,287.06	$1,898.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,190.86 / $1,568.50 / $2,190.85	Facility		$1,190.86	$1,568.50	$2,190.85
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $305.63 / $313.70 / $469.05	Facility	80	$305.63	$313.70	$469.05
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $213.94 / $219.59 / $328.33	Facility	AS	$213.94	$219.59	$328.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,172.61 / $1,481.15 / $2,538.94	Facility		$1,172.61	$1,481.15	$2,538.94
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,928.00 / $5,445.00	Facility		$425.00	$2,928.00	$5,445.00