Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,515.39 / $5,282.00 / $10,328.60	Facility		$3,515.39	$5,282.00	$10,328.60
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 / $3,529.97	Facility		$490.00	$610.00	$3,529.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $346.01 / $346.01 / $346.01	Facility	AS	$346.01	$346.01	$346.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,843.95 / $3,513.11 / $5,060.05	Professional		$2,843.95	$3,513.11	$5,060.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,100.02 / $3,994.76 / $5,941.01	Facility		$3,100.02	$3,994.76	$5,941.01
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $687.00 / $762.93 / $1,235.02	Facility	80	$687.00	$762.93	$1,235.02
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $480.90 / $534.04 / $864.51	Facility	AS	$480.90	$534.04	$864.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,043.62 / $3,733.09 / $6,647.28	Facility		$3,043.62	$3,733.09	$6,647.28
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