Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.23 / $5,412.00 / $13,209.00	Facility		$819.23	$5,412.00	$13,209.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,112.00 / $37,782.72 / $52,623.67	Facility		$4,112.00	$37,782.72	$52,623.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $840.68	Facility		$640.00	$640.00	$840.68
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.44 / $83.44 / $83.44	Facility	AS	$83.44	$83.44	$83.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $702.90 / $908.81 / $1,074.05	Professional		$702.90	$908.81	$1,074.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $762.54 / $961.23 / $1,382.10	Facility		$762.54	$961.23	$1,382.10
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $174.15 / $251.02 / $374.51	Facility	80	$174.15	$251.02	$374.51
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $121.90 / $175.72 / $262.16	Facility	AS	$121.90	$175.72	$262.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $704.63 / $935.30 / $3,425.81	Facility		$704.63	$935.30	$3,425.81
United Facility/Professional Facility Modifier Low / Median / High Price $7,381.00 / $11,872.00 / $26,537.00	Facility		$7,381.00	$11,872.00	$26,537.00