Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,799.47 / $5,079.00 / $10,767.00	Facility		$1,799.47	$5,079.00	$10,767.00
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 / $1,814.27	Facility		$490.00	$610.00	$1,814.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $178.17 / $178.17 / $178.17	Facility	AS	$178.17	$178.17	$178.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,470.37 / $1,816.34 / $2,600.07	Professional		$1,470.37	$1,816.34	$2,600.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,529.55 / $2,009.59 / $2,960.45	Facility		$1,529.55	$2,009.59	$2,960.45
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $289.54 / $395.20 / $633.79	Facility	80	$289.54	$395.20	$633.79
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $202.68 / $276.64 / $443.65	Facility	AS	$202.68	$276.64	$443.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,490.58 / $1,916.76 / $3,517.39	Facility		$1,490.58	$1,916.76	$3,517.39
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