Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,385.66 / $6,146.00 / $14,796.00	Facility		$1,385.66	$6,146.00	$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 $1,403.28 / $1,403.28 / $1,700.00	Facility		$1,403.28	$1,403.28	$1,700.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $139.43 / $139.43 / $139.43	Facility	AS	$139.43	$139.43	$139.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,165.46 / $1,508.24 / $1,782.47	Professional		$1,165.46	$1,508.24	$1,782.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,259.68 / $1,621.22 / $2,526.15	Facility		$1,259.68	$1,621.22	$2,526.15
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $266.80 / $433.07 / $719.02	Facility	80	$266.80	$433.07	$719.02
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $186.76 / $303.14 / $503.31	Facility	AS	$186.76	$303.14	$503.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,171.57 / $1,556.98 / $5,222.06	Facility		$1,171.57	$1,556.98	$5,222.06
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