Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,912.67 / $5,087.00 / $16,589.00	Facility		$1,912.67	$5,087.00	$16,589.00
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 / $1,879.13	Facility		$490.00	$610.00	$1,879.13
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $184.06 / $184.06 / $184.06	Facility	AS	$184.06	$184.06	$184.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.96 / $1,870.19 / $2,728.81	Professional		$1,513.96	$1,870.19	$2,728.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,712.26 / $2,177.52 / $3,152.35	Facility		$1,712.26	$2,177.52	$3,152.35
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $410.36 / $466.35 / $676.40	Facility	80	$410.36	$466.35	$676.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $287.25 / $326.44 / $465.07	Facility	AS	$287.25	$326.44	$465.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,626.83 / $2,063.88 / $3,657.60	Facility		$1,626.83	$2,063.88	$3,657.60
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