Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,468.86 / $7,170.00 / $14,796.00	Facility		$1,468.86	$7,170.00	$14,796.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,112.00 / $54,001.38 / $75,212.97	Facility		$4,112.00	$54,001.38	$75,212.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,487.30	Facility		$640.00	$640.00	$1,487.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $147.38 / $147.38 / $147.38	Facility	AS	$147.38	$147.38	$147.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,234.86 / $1,590.20 / $1,879.33	Professional		$1,234.86	$1,590.20	$1,879.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,313.54 / $1,712.14 / $2,497.06	Facility		$1,313.54	$1,712.14	$2,497.06
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $319.13 / $361.80 / $672.05	Facility	80	$319.13	$361.80	$672.05
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $223.39 / $253.26 / $470.43	Facility	AS	$223.39	$253.26	$470.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,251.28 / $1,676.69 / $5,560.38	Facility		$1,251.28	$1,676.69	$5,560.38
United Facility/Professional Facility Modifier Low / Median / High Price $7,621.00 / $25,197.00 / $42,546.00	Facility		$7,621.00	$25,197.00	$42,546.00