Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,683.13 / $4,926.00 / $13,209.00	Facility		$1,683.13	$4,926.00	$13,209.00
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 / $1,700.59	Facility		$1,700.00	$1,700.00	$1,700.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $168.44 / $168.44 / $168.44	Facility	AS	$168.44	$168.44	$168.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,402.94 / $1,811.50 / $2,140.87	Professional		$1,402.94	$1,811.50	$2,140.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,527.48 / $1,969.26 / $3,073.04	Facility		$1,527.48	$1,969.26	$3,073.04
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $360.63 / $525.67 / $868.72	Facility	80	$360.63	$525.67	$868.72
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $252.44 / $367.98 / $608.11	Facility	AS	$252.44	$367.98	$608.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,413.97 / $1,898.00 / $6,337.30	Facility		$1,413.97	$1,898.00	$6,337.30
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