Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.15 / $4,390.00 / $9,539.00	Facility		$895.15	$4,390.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $54,001.38 / $75,212.97	Facility		$7,142.00	$54,001.38	$75,212.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $892.03	Facility		$640.00	$640.00	$892.03
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $87.39 / $87.39 / $87.39	Facility	AS	$87.39	$87.39	$87.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $729.99 / $934.39 / $1,095.19	Professional		$729.99	$934.39	$1,095.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $802.94 / $1,061.89 / $1,496.22	Facility		$802.94	$1,061.89	$1,496.22
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,560.78 / $2,073.42 / $3,091.24	Facility	50	$1,560.78	$2,073.42	$3,091.24
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $208.10 / $276.45 / $412.17	Facility	80	$208.10	$276.45	$412.17
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $145.66 / $193.52 / $288.52	Facility	AS	$145.66	$193.52	$288.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $769.24 / $1,043.89 / $3,741.77	Facility		$769.24	$1,043.89	$3,741.77
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