Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.00 / $5,040.00 / $10,637.11	Facility		$837.00	$5,040.00	$10,637.11
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 $849.65 / $849.65 / $900.00	Facility		$849.65	$849.65	$900.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.97 / $84.97 / $84.97	Facility	AS	$84.97	$84.97	$84.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $718.79 / $930.20 / $1,099.33	Professional		$718.79	$930.20	$1,099.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $730.80 / $920.61 / $1,376.17	Facility		$730.80	$920.61	$1,376.17
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $113.10 / $140.13 / $259.68	Facility	AS	$113.10	$140.13	$259.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $649.74 / $923.58 / $3,151.17	Facility		$649.74	$923.58	$3,151.17
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00