Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,229.34 / $4,771.00 / $9,539.00	Facility		$1,229.34	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $9,527.62 / $13,270.04	Facility		$6,385.00	$9,527.62	$13,270.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,235.10	Facility		$640.00	$640.00	$1,235.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $122.70 / $122.70 / $122.70	Facility	AS	$122.70	$122.70	$122.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,031.58 / $1,329.81 / $1,571.60	Professional		$1,031.58	$1,329.81	$1,571.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,113.13 / $1,437.91 / $2,166.38	Facility		$1,113.13	$1,437.91	$2,166.38
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $238.20 / $343.90 / $636.00	Facility	80	$238.20	$343.90	$636.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $166.74 / $240.73 / $445.20	Facility	AS	$166.74	$240.73	$445.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,050.76 / $1,380.23 / $2,588.23	Facility		$1,050.76	$1,380.23	$2,588.23
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