Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.64 / $7,865.00 / $20,429.27	Facility		$1,122.64	$7,865.00	$20,429.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,207.00 / $10,161.00 / $11,407.00	Facility		$7,207.00	$10,161.00	$11,407.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $1,095.64 / $2,110.51	Facility		$490.00	$1,095.64	$2,110.51
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $107.75 / $107.75 / $107.75	Facility	AS	$107.75	$107.75	$107.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.07 / $1,087.01 / $1,575.14	Professional		$840.07	$1,087.01	$1,575.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $993.70 / $1,264.85 / $1,811.36	Facility		$993.70	$1,264.85	$1,811.36
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $235.26 / $269.60 / $387.07	Facility	80	$235.26	$269.60	$387.07
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $164.68 / $188.72 / $266.88	Facility	AS	$164.68	$188.72	$266.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $945.33 / $1,183.24 / $2,249.19	Facility		$945.33	$1,183.24	$2,249.19
United Facility/Professional Facility Modifier Low / Median / High Price $4,164.00 / $14,004.00 / $31,849.00	Facility		$4,164.00	$14,004.00	$31,849.00