Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,933.78 / $4,796.00 / $9,539.00	Facility		$1,933.78	$4,796.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,928.51	Facility		$640.00	$640.00	$1,928.51
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $190.74 / $190.74 / $190.74	Facility	AS	$190.74	$190.74	$190.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,596.07 / $2,051.54 / $2,424.55	Professional		$1,596.07	$2,051.54	$2,424.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,652.99 / $2,229.66 / $3,159.11	Facility		$1,652.99	$2,229.66	$3,159.11
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $417.85 / $541.40 / $988.28	Facility	80	$417.85	$541.40	$988.28
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $292.50 / $378.98 / $691.79	Facility	AS	$292.50	$378.98	$691.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,606.34 / $2,128.03 / $3,948.95	Facility		$1,606.34	$2,128.03	$3,948.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,959.00 / $5,226.00	Facility		$1,275.00	$2,959.00	$5,226.00