Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.65 / $4,001.50 / $8,920.00	Facility		$1,261.65	$4,001.50	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,281.49	Facility		$640.00	$640.00	$1,281.49
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $127.09 / $127.09 / $127.09	Facility	AS	$127.09	$127.09	$127.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,084.57 / $1,388.25 / $1,631.50	Professional		$1,084.57	$1,388.25	$1,631.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $639.20 / $1,333.25 / $2,061.07	Facility		$639.20	$1,333.25	$2,061.07
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $124.80 / $305.72 / $582.53	Facility	80	$124.80	$305.72	$582.53
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $87.36 / $214.00 / $407.77	Facility	AS	$87.36	$214.00	$407.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $520.29 / $1,407.32 / $4,776.57	Facility		$520.29	$1,407.32	$4,776.57
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00