Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.02 / $5,087.00 / $16,106.00	Facility		$1,071.02	$5,087.00	$16,106.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $685.00 / $1,142.00	Facility		$610.00	$685.00	$1,142.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.97 / $102.97 / $102.97	Facility	AS	$102.97	$102.97	$102.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.97 / $1,052.44 / $1,503.48	Professional		$851.97	$1,052.44	$1,503.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $951.80 / $1,210.25 / $1,734.00	Facility		$951.80	$1,210.25	$1,734.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $226.06 / $258.95 / $376.79	Facility	80	$226.06	$258.95	$376.79
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $158.24 / $181.27 / $259.58	Facility	AS	$158.24	$181.27	$259.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $896.63 / $1,141.74 / $2,149.71	Facility		$896.63	$1,141.74	$2,149.71
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