Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.33 / $5,087.00 / $14,796.00	Facility		$1,245.33	$5,087.00	$14,796.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,531.00 / $17,046.58 / $23,861.81	Facility		$10,531.00	$17,046.58	$23,861.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,231.67	Facility		$490.00	$610.00	$1,231.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $121.47 / $121.47 / $121.47	Facility	AS	$121.47	$121.47	$121.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,004.26 / $1,240.55 / $1,812.87	Professional		$1,004.26	$1,240.55	$1,812.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,131.77 / $1,423.75 / $2,089.61	Facility		$1,131.77	$1,423.75	$2,089.61
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $264.88 / $300.81 / $449.99	Facility	80	$264.88	$300.81	$449.99
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $185.42 / $210.57 / $308.45	Facility	AS	$185.42	$210.57	$308.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,077.49 / $1,359.65 / $2,418.12	Facility		$1,077.49	$1,359.65	$2,418.12
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,928.00 / $5,445.00	Facility		$425.00	$2,928.00	$5,445.00