Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,950.59 / $7,438.00 / $22,930.72	Facility		$1,950.59	$7,438.00	$22,930.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $1,727.00 / $5,508.59	Facility		$610.00	$1,727.00	$5,508.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $125.45 / $125.45 / $125.45	Facility	AS	$125.45	$125.45	$125.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $979.06 / $1,266.06 / $1,822.84	Professional		$979.06	$1,266.06	$1,822.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,058.33 / $1,385.50 / $2,149.85	Facility		$1,058.33	$1,385.50	$2,149.85
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $211.63 / $239.20 / $442.10	Facility	80	$211.63	$239.20	$442.10
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $148.13 / $167.44 / $309.47	Facility	AS	$148.13	$167.44	$309.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $939.54 / $1,306.81 / $2,614.42	Facility		$939.54	$1,306.81	$2,614.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $12,407.00 / $26,244.00	Facility		$2,020.00	$12,407.00	$26,244.00