Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.07 / $5,412.00 / $15,165.00	Facility		$1,513.07	$5,412.00	$15,165.00
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 / $1,512.50	Facility		$490.00	$610.00	$1,512.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $148.22 / $148.22 / $148.22	Facility	AS	$148.22	$148.22	$148.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,220.99 / $1,508.28 / $2,190.75	Professional		$1,220.99	$1,508.28	$2,190.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,368.53 / $1,716.56 / $2,510.63	Facility		$1,368.53	$1,716.56	$2,510.63
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $311.39 / $337.20 / $539.60	Facility	80	$311.39	$337.20	$539.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $217.98 / $236.04 / $377.72	Facility	AS	$217.98	$236.04	$377.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,332.44 / $1,660.24 / $2,934.81	Facility		$1,332.44	$1,660.24	$2,934.81
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