Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.06 / $4,771.00 / $11,173.77	Facility		$846.06	$4,771.00	$11,173.77
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 / $858.91	Facility		$640.00	$640.00	$858.91
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $85.34 / $85.34 / $85.34	Facility	AS	$85.34	$85.34	$85.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $725.41 / $928.52 / $1,096.38	Professional		$725.41	$928.52	$1,096.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $785.86 / $997.06 / $1,448.55	Facility		$785.86	$997.06	$1,448.55
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $183.96 / $267.93 / $389.60	Facility	80	$183.96	$267.93	$389.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $128.77 / $187.55 / $272.72	Facility	AS	$128.77	$187.55	$272.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $727.79 / $966.98 / $3,442.00	Facility		$727.79	$966.98	$3,442.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00