Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,843.35 / $5,412.00 / $11,425.00	Facility		$1,843.35	$5,412.00	$11,425.00
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 $1,700.00 / $1,700.00 / $1,858.07	Facility		$1,700.00	$1,700.00	$1,858.07
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $184.10 / $184.10 / $184.10	Facility	AS	$184.10	$184.10	$184.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,532.18 / $1,982.83 / $2,343.34	Professional		$1,532.18	$1,982.83	$2,343.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,686.20 / $2,137.88 / $3,331.98	Facility		$1,686.20	$2,137.88	$3,331.98
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $361.80 / $571.95 / $944.90	Facility	80	$361.80	$571.95	$944.90
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $253.26 / $400.37 / $661.43	Facility	AS	$253.26	$400.37	$661.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,539.86 / $2,077.73 / $6,909.05	Facility		$1,539.86	$2,077.73	$6,909.05
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,024.00 / $26,537.00	Facility		$7,408.00	$13,024.00	$26,537.00