Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,018.63 / $8,294.00 / $22,728.00	Facility		$2,018.63	$8,294.00	$22,728.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,531.00 / $17,046.58 / $23,861.81	Facility		$10,531.00	$17,046.58	$23,861.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,980.11	Facility		$490.00	$610.00	$1,980.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $194.20 / $194.20 / $194.20	Facility	AS	$194.20	$194.20	$194.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,601.66 / $1,978.52 / $2,832.00	Professional		$1,601.66	$1,978.52	$2,832.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,791.59 / $2,292.55 / $3,310.47	Facility		$1,791.59	$2,292.55	$3,310.47
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $426.92 / $487.35 / $901.19	Facility	80	$426.92	$487.35	$901.19
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $298.85 / $341.15 / $630.83	Facility	AS	$298.85	$341.15	$630.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,708.04 / $2,139.60 / $4,056.58	Facility		$1,708.04	$2,139.60	$4,056.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,545.00 / $11,060.00 / $26,244.00	Facility		$2,545.00	$11,060.00	$26,244.00