Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,464.69 / $6,827.70 / $14,796.00	Facility		$1,464.69	$6,827.70	$14,796.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,117.72 / $3,117.72 / $3,117.72	Facility	50	$3,117.72	$3,117.72	$3,117.72
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 $1,476.67 / $1,476.67 / $1,700.00	Facility		$1,476.67	$1,476.67	$1,700.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $146.47 / $146.47 / $146.47	Facility	AS	$146.47	$146.47	$146.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,226.30 / $1,578.82 / $1,865.88	Professional		$1,226.30	$1,578.82	$1,865.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,328.45 / $1,720.77 / $2,680.38	Facility		$1,328.45	$1,720.77	$2,680.38
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,374.73 / $3,426.87 / $5,691.47	Facility	50	$2,374.73	$3,426.87	$5,691.47
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $316.63 / $456.92 / $758.86	Facility	80	$316.63	$456.92	$758.86
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $221.64 / $319.83 / $531.20	Facility	AS	$221.64	$319.83	$531.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,250.79 / $1,667.47 / $5,529.15	Facility		$1,250.79	$1,667.47	$5,529.15
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