Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.37 / $3,991.00 / $10,767.00	Facility		$409.37	$3,991.00	$10,767.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.17 / $776.55 / $10,056.00	Facility		$509.17	$776.55	$10,056.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.31 / $409.31 / $640.00	Facility		$409.31	$409.31	$640.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $250.96 / $250.96 / $250.96	Facility	62	$250.96	$250.96	$250.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $40.15 / $40.15 / $40.15	Facility	AS	$40.15	$40.15	$40.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.18 / $429.44 / $507.52	Professional		$335.18	$429.44	$507.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $368.58 / $483.80 / $716.03	Facility		$368.58	$483.80	$716.03
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $64.02 / $88.34 / $131.21	Facility	AS	$64.02	$88.34	$131.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $351.67 / $478.94 / $883.71	Facility		$351.67	$478.94	$883.71
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