Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,238.48 / $6,705.00 / $14,867.45	Facility		$1,238.48	$6,705.00	$14,867.45
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 / $1,243.03	Facility		$490.00	$610.00	$1,243.03
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $121.95 / $121.95 / $121.95	Facility	AS	$121.95	$121.95	$121.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,006.49 / $1,243.31 / $1,789.58	Professional		$1,006.49	$1,243.31	$1,789.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,120.29 / $1,408.92 / $2,093.03	Facility		$1,120.29	$1,408.92	$2,093.03
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $248.00 / $274.00 / $435.63	Facility	80	$248.00	$274.00	$435.63
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $173.60 / $191.80 / $304.94	Facility	AS	$173.60	$191.80	$304.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,051.45 / $1,320.80 / $2,410.33	Facility		$1,051.45	$1,320.80	$2,410.33
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00