Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.53 / $4,796.00 / $9,918.00	Facility		$1,230.53	$4,796.00	$9,918.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,362.13 / $8,012.60 / $11,216.04	Facility		$5,362.13	$8,012.60	$11,216.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,229.08	Facility		$490.00	$610.00	$1,229.08
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $120.64 / $120.64 / $120.64	Facility	AS	$120.64	$120.64	$120.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $994.73 / $1,228.78 / $1,774.81	Professional		$994.73	$1,228.78	$1,774.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,102.79 / $1,393.03 / $2,079.60	Facility		$1,102.79	$1,393.03	$2,079.60
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $229.20 / $267.58 / $437.58	Facility	80	$229.20	$267.58	$437.58
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $160.44 / $187.31 / $306.30	Facility	AS	$160.44	$187.31	$306.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,063.72 / $1,344.14 / $2,376.14	Facility		$1,063.72	$1,344.14	$2,376.14
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