Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,756.20 / $5,048.00 / $9,918.00	Facility		$1,756.20	$5,048.00	$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 / $1,751.21	Facility		$490.00	$610.00	$1,751.21
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.20 / $171.20 / $171.20	Facility	AS	$171.20	$171.20	$171.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,410.22 / $1,742.03 / $2,556.66	Professional		$1,410.22	$1,742.03	$2,556.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,574.94 / $1,986.89 / $2,967.98	Facility		$1,574.94	$1,986.89	$2,967.98
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $338.80 / $390.39 / $621.22	Facility	80	$338.80	$390.39	$621.22
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $237.16 / $273.27 / $434.85	Facility	AS	$237.16	$273.27	$434.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,515.28 / $1,900.55 / $3,402.67	Facility		$1,515.28	$1,900.55	$3,402.67
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