Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,180.28 / $4,771.00 / $9,539.00	Facility		$1,180.28	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,181.39	Facility		$490.00	$610.00	$1,181.39
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $115.95 / $115.95 / $115.95	Facility	AS	$115.95	$115.95	$115.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $956.73 / $1,181.83 / $1,705.68	Professional		$956.73	$1,181.83	$1,705.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,057.45 / $1,341.23 / $1,994.67	Facility		$1,057.45	$1,341.23	$1,994.67
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $224.00 / $256.92 / $416.65	Facility	80	$224.00	$256.92	$416.65
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $156.80 / $179.84 / $291.66	Facility	AS	$156.80	$179.84	$291.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,008.89 / $1,276.91 / $2,287.30	Facility		$1,008.89	$1,276.91	$2,287.30
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