Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.76 / $3,633.00 / $8,920.00	Facility		$411.76	$3,633.00	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.17 / $776.55 / $11,451.00	Facility		$509.17	$776.55	$11,451.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $406.87 / $406.87 / $640.00	Facility		$406.87	$406.87	$640.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $39.89 / $39.89 / $39.89	Facility	AS	$39.89	$39.89	$39.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.84 / $428.60 / $505.87	Professional		$334.84	$428.60	$505.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $372.17 / $486.63 / $753.52	Facility		$372.17	$486.63	$753.52
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $91.97 / $110.60 / $188.61	Facility	80	$91.97	$110.60	$188.61
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $64.38 / $77.42 / $132.02	Facility	AS	$64.38	$77.42	$132.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $350.62 / $482.00 / $888.70	Facility		$350.62	$482.00	$888.70
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00