Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $5,091.00 / $11,232.77	Facility		$945.00	$5,091.00	$11,232.77
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 / $691.52	Facility		$640.00	$640.00	$691.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $69.08 / $69.08 / $69.08	Facility	AS	$69.08	$69.08	$69.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $585.59 / $754.00 / $891.09	Professional		$585.59	$754.00	$891.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $619.46 / $810.09 / $1,187.58	Facility		$619.46	$810.09	$1,187.58
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,147.91 / $1,619.76 / $2,264.66	Facility	50	$1,147.91	$1,619.76	$2,264.66
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $153.05 / $215.97 / $301.95	Facility	80	$153.05	$215.97	$301.95
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $107.14 / $151.18 / $211.37	Facility	AS	$107.14	$151.18	$211.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $590.66 / $773.02 / $2,566.06	Facility		$590.66	$773.02	$2,566.06
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