Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,676.61 / $5,412.00 / $13,209.00	Facility		$1,676.61	$5,412.00	$13,209.00
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 $1,694.77 / $1,694.77 / $1,700.00	Facility		$1,694.77	$1,694.77	$1,700.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $168.25 / $168.25 / $168.25	Facility	AS	$168.25	$168.25	$168.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,407.00 / $1,820.82 / $2,151.88	Professional		$1,407.00	$1,820.82	$2,151.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,540.47 / $1,948.32 / $3,005.25	Facility		$1,540.47	$1,948.32	$3,005.25
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $323.60 / $520.94 / $862.82	Facility	80	$323.60	$520.94	$862.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $226.52 / $364.66 / $603.97	Facility	AS	$226.52	$364.66	$603.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,407.18 / $1,873.23 / $6,282.74	Facility		$1,407.18	$1,873.23	$6,282.74
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