Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,384.03 / $5,087.00 / $14,187.00	Facility		$1,384.03	$5,087.00	$14,187.00
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 / $1,372.04	Facility		$490.00	$610.00	$1,372.04
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $135.26 / $135.26 / $135.26	Facility	AS	$135.26	$135.26	$135.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,118.06 / $1,381.14 / $2,010.41	Professional		$1,118.06	$1,381.14	$2,010.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,258.21 / $1,581.94 / $2,309.67	Facility		$1,258.21	$1,581.94	$2,309.67
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $290.25 / $329.83 / $496.93	Facility	80	$290.25	$329.83	$496.93
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $203.17 / $230.88 / $341.70	Facility	AS	$203.17	$230.88	$341.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,197.39 / $1,501.21 / $2,691.60	Facility		$1,197.39	$1,501.21	$2,691.60
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