Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,197.89 / $4,390.00 / $9,918.00	Facility		$1,197.89	$4,390.00	$9,918.00
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 / $1,199.82	Facility		$490.00	$610.00	$1,199.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $117.55 / $117.55 / $117.55	Facility	AS	$117.55	$117.55	$117.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $967.78 / $1,195.50 / $1,727.84	Professional		$967.78	$1,195.50	$1,727.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,060.11 / $1,360.87 / $2,024.43	Facility		$1,060.11	$1,360.87	$2,024.43
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $243.20 / $266.39 / $421.95	Facility	80	$243.20	$266.39	$421.95
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $170.24 / $186.48 / $295.36	Facility	AS	$170.24	$186.48	$295.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,035.52 / $1,287.28 / $2,329.02	Facility		$1,035.52	$1,287.28	$2,329.02
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