Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,519.31 / $4,771.00 / $9,539.00	Facility		$1,519.31	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,533.31	Facility		$490.00	$610.00	$1,533.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $150.55 / $150.55 / $150.55	Facility	AS	$150.55	$150.55	$150.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,243.33 / $1,535.88 / $2,193.26	Professional		$1,243.33	$1,535.88	$2,193.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,256.66 / $1,657.92 / $2,482.00	Facility		$1,256.66	$1,657.92	$2,482.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $219.60 / $325.50 / $533.91	Facility	80	$219.60	$325.50	$533.91
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $153.72 / $227.85 / $373.75	Facility	AS	$153.72	$227.85	$373.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,111.43 / $1,616.40 / $2,968.10	Facility		$1,111.43	$1,616.40	$2,968.10
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $6,380.00	Facility		$327.00	$2,397.00	$6,380.00