Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.01 / $5,412.00 / $13,209.00	Facility		$787.01	$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 / $809.07	Facility		$640.00	$640.00	$809.07
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.45 / $80.45 / $80.45	Facility	AS	$80.45	$80.45	$80.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.85 / $875.06 / $1,034.16	Professional		$676.85	$875.06	$1,034.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $730.64 / $930.06 / $1,387.53	Facility		$730.64	$930.06	$1,387.53
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $166.59 / $228.80 / $359.84	Facility	80	$166.59	$228.80	$359.84
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $116.61 / $160.16 / $251.89	Facility	AS	$116.61	$160.16	$251.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $679.59 / $900.53 / $3,289.95	Facility		$679.59	$900.53	$3,289.95
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