Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.02 / $5,360.00 / $10,366.91	Facility		$592.02	$5,360.00	$10,366.91
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 $311.69 / $311.69 / $776.00	Facility		$311.69	$311.69	$776.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $30.65 / $30.65 / $30.65	Facility	AS	$30.65	$30.65	$30.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.54 / $330.93 / $385.70	Professional		$258.54	$330.93	$385.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $287.29 / $407.75 / $864.28	Facility		$287.29	$407.75	$864.28
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $73.48 / $113.60 / $218.40	Facility	80	$73.48	$113.60	$218.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $51.44 / $79.52 / $152.88	Facility	AS	$51.44	$79.52	$152.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $290.57 / $420.41 / $1,330.14	Facility		$290.57	$420.41	$1,330.14
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