Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.29 / $6,827.70 / $11,425.00	Facility		$846.29	$6,827.70	$11,425.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,524.00 / $22,312.00 / $37,718.00	Facility		$12,524.00	$22,312.00	$37,718.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $909.46	Facility		$640.00	$640.00	$909.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $90.07 / $90.07 / $90.07	Facility	AS	$90.07	$90.07	$90.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.42 / $981.02 / $1,153.19	Professional		$766.42	$981.02	$1,153.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $761.25 / $910.95 / $1,424.82	Facility		$761.25	$910.95	$1,424.82
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,154.35 / $1,626.83 / $2,961.18	Facility	50	$1,154.35	$1,626.83	$2,961.18
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $107.74 / $151.84 / $276.38	Facility	AS	$107.74	$151.84	$276.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $621.58 / $918.97 / $3,813.18	Facility		$621.58	$918.97	$3,813.18
United Facility/Professional Facility Modifier Low / Median / High Price $7,621.00 / $20,974.00 / $40,876.00	Facility		$7,621.00	$20,974.00	$40,876.00