Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,366.26 / $5,087.00 / $8,294.00	Facility		$1,366.26	$5,087.00	$8,294.00
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 / $749.18	Facility		$640.00	$640.00	$749.18
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.45 / $74.45 / $74.45	Facility	AS	$74.45	$74.45	$74.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $633.69 / $812.58 / $960.32	Professional		$633.69	$812.58	$960.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $683.88 / $864.24 / $1,266.59	Facility		$683.88	$864.24	$1,266.59
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $157.26 / $232.76 / $338.22	Facility	80	$157.26	$232.76	$338.22
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $110.08 / $162.93 / $236.76	Facility	AS	$110.08	$162.93	$236.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $635.96 / $833.55 / $3,071.45	Facility		$635.96	$833.55	$3,071.45
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