Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.31 / $4,643.00 / $8,294.00	Facility		$780.31	$4,643.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $787.96	Facility		$640.00	$640.00	$787.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $78.22 / $78.22 / $78.22	Facility	AS	$78.22	$78.22	$78.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $663.44 / $849.20 / $1,001.86	Professional		$663.44	$849.20	$1,001.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $723.19 / $912.96 / $1,288.40	Facility		$723.19	$912.96	$1,288.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $123.40 / $131.35 / $251.36	Facility	AS	$123.40	$131.35	$251.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $669.58 / $885.84 / $3,033.73	Facility		$669.58	$885.84	$3,033.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00