Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $919.81 / $5,388.00 / $11,024.00	Facility		$919.81	$5,388.00	$11,024.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $37,782.72 / $52,623.67	Facility		$7,142.00	$37,782.72	$52,623.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $937.78	Facility		$640.00	$640.00	$937.78
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $93.28 / $93.28 / $93.28	Facility	AS	$93.28	$93.28	$93.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $784.13 / $1,012.47 / $1,196.56	Professional		$784.13	$1,012.47	$1,196.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $850.37 / $1,081.89 / $1,683.25	Facility		$850.37	$1,081.89	$1,683.25
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $196.50 / $290.16 / $420.71	Facility	80	$196.50	$290.16	$420.71
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $137.55 / $203.11 / $294.50	Facility	AS	$137.55	$203.11	$294.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $787.35 / $1,056.93 / $3,558.08	Facility		$787.35	$1,056.93	$3,558.08
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00