Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.71 / $5,412.00 / $23,601.00	Facility		$860.71	$5,412.00	$23,601.00
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 / $858.84	Facility		$640.00	$640.00	$858.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.30 / $84.30 / $84.30	Facility	AS	$84.30	$84.30	$84.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $700.20 / $900.19 / $1,063.85	Professional		$700.20	$900.19	$1,063.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $776.11 / $1,017.21 / $1,575.10	Facility		$776.11	$1,017.21	$1,575.10
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $190.94 / $257.80 / $392.79	Facility	80	$190.94	$257.80	$392.79
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $133.66 / $180.46 / $274.95	Facility	AS	$133.66	$180.46	$274.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $737.71 / $999.24 / $2,848.89	Facility		$737.71	$999.24	$2,848.89
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $27,201.00	Facility		$7,408.00	$13,296.00	$27,201.00