Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,523.82 / $5,360.00 / $9,347.59	Facility		$1,523.82	$5,360.00	$9,347.59
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 $776.00 / $776.00 / $836.22	Facility		$776.00	$776.00	$836.22
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $83.10	Facility	AS	$83.10	$83.10	$83.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $706.37 / $904.15 / $1,067.99	Professional		$706.37	$904.15	$1,067.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $754.97 / $962.01 / $1,377.79	Facility		$754.97	$962.01	$1,377.79
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,331.15 / $1,932.00 / $2,839.34	Facility	50	$1,331.15	$1,932.00	$2,839.34
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $177.49 / $257.60 / $378.58	Facility	80	$177.49	$257.60	$378.58
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $124.24 / $180.32 / $265.01	Facility	AS	$124.24	$180.32	$265.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $708.79 / $938.78 / $3,186.31	Facility		$708.79	$938.78	$3,186.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00