Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,317.11 / $5,412.00 / $12,986.42	Facility		$1,317.11	$5,412.00	$12,986.42
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 / $1,284.00	Facility		$490.00	$610.00	$1,284.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $126.27 / $126.27 / $126.27	Facility	AS	$126.27	$126.27	$126.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,044.96 / $1,290.83 / $1,838.16	Professional		$1,044.96	$1,290.83	$1,838.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,111.28 / $1,399.00 / $2,148.01	Facility		$1,111.28	$1,399.00	$2,148.01
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $228.60 / $253.60 / $446.60	Facility	80	$228.60	$253.60	$446.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $160.02 / $179.40 / $312.62	Facility	AS	$160.02	$179.40	$312.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,011.86 / $1,319.82 / $2,492.28	Facility		$1,011.86	$1,319.82	$2,492.28
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