Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.58 / $8,622.26 / $21,816.58	Facility		$1,275.58	$8,622.26	$21,816.58
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 / $1,264.70	Facility		$490.00	$610.00	$1,264.70
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $123.14 / $123.14 / $123.14	Facility	AS	$123.14	$123.14	$123.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,008.05 / $1,245.24 / $1,968.66	Professional		$1,008.05	$1,245.24	$1,968.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,182.03 / $1,556.84 / $2,136.96	Facility		$1,182.03	$1,556.84	$2,136.96
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $327.73 / $335.40 / $513.40	Facility	80	$327.73	$335.40	$513.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $220.95 / $234.78 / $359.38	Facility	AS	$220.95	$234.78	$359.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,215.07 / $1,581.65 / $2,685.36	Facility		$1,215.07	$1,581.65	$2,685.36
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