Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,080.59 / $8,294.00 / $19,128.47	Facility		$2,080.59	$8,294.00	$19,128.47
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 $490.00 / $610.00 / $2,052.10	Facility		$490.00	$610.00	$2,052.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $200.73 / $200.73 / $200.73	Facility	AS	$200.73	$200.73	$200.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,648.14 / $2,035.94 / $2,990.34	Professional		$1,648.14	$2,035.94	$2,990.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,839.68 / $2,328.06 / $3,394.64	Facility		$1,839.68	$2,328.06	$3,394.64
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $411.60 / $453.16 / $744.15	Facility	80	$411.60	$453.16	$744.15
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $288.12 / $317.20 / $509.91	Facility	AS	$288.12	$317.20	$509.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,776.07 / $2,219.14 / $3,979.47	Facility		$1,776.07	$2,219.14	$3,979.47
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