Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.15 / $5,042.39 / $15,165.00	Facility		$928.15	$5,042.39	$15,165.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.17 / $776.55 / $3,241.00	Facility		$509.17	$776.55	$3,241.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $928.06	Facility		$640.00	$640.00	$928.06
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $569.25 / $569.25 / $569.25	Facility	62	$569.25	$569.25	$569.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $91.08 / $91.08 / $91.08	Facility	AS	$91.08	$91.08	$91.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $757.77 / $973.43 / $1,150.42	Professional		$757.77	$973.43	$1,150.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $837.85 / $1,096.90 / $1,698.51	Facility		$837.85	$1,096.90	$1,698.51
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $204.74 / $273.20 / $424.20	Facility	80	$204.74	$273.20	$424.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $143.32 / $191.24 / $296.94	Facility	AS	$143.32	$191.24	$296.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $797.23 / $1,039.31 / $1,786.97	Facility		$797.23	$1,039.31	$1,786.97
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,375.00	Facility		$231.00	$1,045.00	$2,375.00