Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,537.76 / $3,693.84 / $8,920.00	Facility		$1,537.76	$3,693.84	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,734.00 / $17,392.64 / $24,346.23	Facility		$6,734.00	$17,392.64	$24,346.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,549.62	Facility		$490.00	$610.00	$1,549.62
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $152.11 / $152.11 / $152.11	Facility	AS	$152.11	$152.11	$152.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,256.58 / $1,552.25 / $2,221.21	Professional		$1,256.58	$1,552.25	$2,221.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,278.00 / $1,677.55 / $2,512.13	Facility		$1,278.00	$1,677.55	$2,512.13
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $240.20 / $330.01 / $540.59	Facility	80	$240.20	$330.01	$540.59
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $168.14 / $231.01 / $378.41	Facility	AS	$168.14	$231.01	$378.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,138.04 / $1,637.47 / $3,177.13	Facility		$1,138.04	$1,637.47	$3,177.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $8,246.00 / $17,187.00	Facility		$1,236.00	$8,246.00	$17,187.00