Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,309.94 / $5,087.00 / $14,796.00	Facility		$1,309.94	$5,087.00	$14,796.00
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 $1,255.08 / $1,255.08 / $1,700.00	Facility		$1,255.08	$1,255.08	$1,700.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $124.52 / $124.52 / $124.52	Facility	AS	$124.52	$124.52	$124.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.19 / $1,355.19 / $1,601.59	Professional		$1,047.19	$1,355.19	$1,601.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,141.47 / $1,532.63 / $2,392.56	Facility		$1,141.47	$1,532.63	$2,392.56
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,108.00 / $3,093.00 / $4,821.96	Facility	50	$2,108.00	$3,093.00	$4,821.96
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $196.75 / $288.68 / $450.05	Facility	AS	$196.75	$288.68	$450.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,087.49 / $1,464.90 / $4,927.33	Facility		$1,087.49	$1,464.90	$4,927.33
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