Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,353.98 / $5,048.00 / $10,767.00	Facility		$1,353.98	$5,048.00	$10,767.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $881.98	Facility		$640.00	$640.00	$881.98
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $87.65 / $87.65 / $87.65	Facility	AS	$87.65	$87.65	$87.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $745.36 / $954.06 / $1,124.67	Professional		$745.36	$954.06	$1,124.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $807.74 / $1,031.55 / $1,558.32	Facility		$807.74	$1,031.55	$1,558.32
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $190.65 / $264.60 / $402.25	Facility	80	$190.65	$264.60	$402.25
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $133.46 / $185.22 / $281.57	Facility	AS	$133.46	$185.22	$281.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $747.95 / $991.76 / $3,380.61	Facility		$747.95	$991.76	$3,380.61
United Facility/Professional Facility Modifier Low / Median / High Price $6,398.00 / $10,000.00 / $21,639.00	Facility		$6,398.00	$10,000.00	$21,639.00