Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,597.36 / $4,796.00 / $9,918.00	Facility		$1,597.36	$4,796.00	$9,918.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,429.00 / $11,115.90 / $15,560.04	Facility		$6,429.00	$11,115.90	$15,560.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,601.71	Facility		$490.00	$610.00	$1,601.71
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $156.62 / $156.62 / $156.62	Facility	AS	$156.62	$156.62	$156.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,286.11 / $1,588.73 / $2,302.38	Professional		$1,286.11	$1,588.73	$2,302.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,316.00 / $1,741.12 / $2,609.50	Facility		$1,316.00	$1,741.12	$2,609.50
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $241.00 / $345.12 / $562.36	Facility	80	$241.00	$345.12	$562.36
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $168.70 / $241.59 / $393.65	Facility	AS	$168.70	$241.59	$393.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,125.26 / $1,709.35 / $3,278.81	Facility		$1,125.26	$1,709.35	$3,278.81
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,680.00	Facility		$908.00	$5,815.00	$12,680.00