Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.55 / $5,412.00 / $13,209.00	Facility		$1,057.55	$5,412.00	$13,209.00
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 / $1,066.83	Facility		$490.00	$610.00	$1,066.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $104.84 / $104.84 / $104.84	Facility	AS	$104.84	$104.84	$104.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $866.74 / $1,070.67 / $1,529.54	Professional		$866.74	$1,070.67	$1,529.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $950.30 / $1,200.30 / $1,787.26	Facility		$950.30	$1,200.30	$1,787.26
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $201.40 / $228.80 / $371.91	Facility	80	$201.40	$228.80	$371.91
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $140.97 / $160.16 / $260.33	Facility	AS	$140.97	$160.16	$260.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $913.51 / $1,148.95 / $2,066.65	Facility		$913.51	$1,148.95	$2,066.65
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