Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,233.40 / $5,412.00 / $11,425.00	Facility		$1,233.40	$5,412.00	$11,425.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,240.63 / $1,240.63 / $1,700.00	Facility		$1,240.63	$1,240.63	$1,700.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $123.07 / $123.07 / $123.07	Facility	AS	$123.07	$123.07	$123.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,035.36 / $1,327.77 / $1,569.18	Professional		$1,035.36	$1,327.77	$1,569.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,127.57 / $1,442.10 / $2,145.88	Facility		$1,127.57	$1,442.10	$2,145.88
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $228.00 / $355.03 / $640.58	Facility	80	$228.00	$355.03	$640.58
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $159.60 / $248.52 / $448.41	Facility	AS	$159.60	$248.52	$448.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,041.27 / $1,376.97 / $4,633.60	Facility		$1,041.27	$1,376.97	$4,633.60
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00