Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.73 / $5,388.00 / $11,024.00	Facility		$1,123.73	$5,388.00	$11,024.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $20,977.18 / $29,216.95	Facility		$7,142.00	$20,977.18	$29,216.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,129.30	Facility		$640.00	$640.00	$1,129.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $111.81 / $111.81 / $111.81	Facility	AS	$111.81	$111.81	$111.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $946.48 / $1,211.49 / $1,423.40	Professional		$946.48	$1,211.49	$1,423.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,032.83 / $1,331.00 / $1,910.80	Facility		$1,032.83	$1,331.00	$1,910.80
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $250.88 / $345.20 / $518.09	Facility	80	$250.88	$345.20	$518.09
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $175.62 / $241.64 / $362.66	Facility	AS	$175.62	$241.64	$362.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $969.37 / $1,298.73 / $4,269.29	Facility		$969.37	$1,298.73	$4,269.29
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