Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,989.00 / $5,412.00 / $10,866.88	Facility		$1,989.00	$5,412.00	$10,866.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,005.10	Facility		$776.00	$776.00	$1,005.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $99.88 / $99.88 / $99.88	Facility	AS	$99.88	$99.88	$99.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $849.11 / $1,086.85 / $1,282.07	Professional		$849.11	$1,086.85	$1,282.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $898.01 / $1,143.55 / $1,663.34	Facility		$898.01	$1,143.55	$1,663.34
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $211.80 / $259.60 / $458.09	Facility	80	$211.80	$259.60	$458.09
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $148.26 / $181.72 / $320.67	Facility	AS	$148.26	$181.72	$320.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $809.97 / $1,103.83 / $3,849.34	Facility		$809.97	$1,103.83	$3,849.34
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,397.00 / $26,537.00	Facility		$7,408.00	$13,397.00	$26,537.00