Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,337.52 / $5,412.00 / $11,024.00	Facility		$1,337.52	$5,412.00	$11,024.00
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 / $1,342.74	Facility		$490.00	$610.00	$1,342.74
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $131.97 / $131.97 / $131.97	Facility	AS	$131.97	$131.97	$131.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,091.38 / $1,348.18 / $1,935.11	Professional		$1,091.38	$1,348.18	$1,935.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,166.82 / $1,507.66 / $2,213.35	Facility		$1,166.82	$1,507.66	$2,213.35
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $240.60 / $289.52 / $471.97	Facility	80	$240.60	$289.52	$471.97
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $168.42 / $202.67 / $330.38	Facility	AS	$168.42	$202.67	$330.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,120.03 / $1,450.37 / $2,753.58	Facility		$1,120.03	$1,450.37	$2,753.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $8,246.00 / $17,187.00	Facility		$1,236.00	$8,246.00	$17,187.00