Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,609.73 / $6,827.70 / $12,800.85	Facility		$1,609.73	$6,827.70	$12,800.85
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 / $1,576.70	Facility		$490.00	$610.00	$1,576.70
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $154.72 / $154.72 / $154.72	Facility	AS	$154.72	$154.72	$154.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,276.55 / $1,576.91 / $2,265.06	Professional		$1,276.55	$1,576.91	$2,265.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,418.50 / $1,789.69 / $2,675.00	Facility		$1,418.50	$1,789.69	$2,675.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $309.80 / $341.06 / $551.40	Facility	80	$309.80	$341.06	$551.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $216.86 / $238.74 / $385.98	Facility	AS	$216.86	$238.74	$385.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,367.83 / $1,712.37 / $3,233.25	Facility		$1,367.83	$1,712.37	$3,233.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,466.00 / $21,401.00	Facility		$1,745.00	$10,466.00	$21,401.00