Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,347.14 / $5,412.00 / $11,425.00	Facility		$1,347.14	$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 $1,363.02 / $1,363.02 / $1,700.00	Facility		$1,363.02	$1,363.02	$1,700.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $135.37 / $135.37 / $135.37	Facility	AS	$135.37	$135.37	$135.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,130.29 / $1,462.73 / $1,728.68	Professional		$1,130.29	$1,462.73	$1,728.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,225.55 / $1,576.15 / $2,465.27	Facility		$1,225.55	$1,576.15	$2,465.27
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $287.70 / $421.45 / $697.73	Facility	80	$287.70	$421.45	$697.73
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $201.39 / $295.01 / $488.41	Facility	AS	$201.39	$295.01	$488.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,142.72 / $1,514.77 / $5,080.47	Facility		$1,142.72	$1,514.77	$5,080.47
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