Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.66 / $5,048.00 / $8,294.00	Facility		$544.66	$5,048.00	$8,294.00
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 $541.34 / $541.34 / $640.00	Facility		$541.34	$541.34	$640.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $53.24 / $53.24 / $53.24	Facility	AS	$53.24	$53.24	$53.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.74 / $571.83 / $671.98	Professional		$446.74	$571.83	$671.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $493.32 / $645.36 / $967.59	Facility		$493.32	$645.36	$967.59
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $955.63 / $1,263.61 / $1,880.65	Facility	50	$955.63	$1,263.61	$1,880.65
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $127.42 / $168.48 / $250.75	Facility	80	$127.42	$168.48	$250.75
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $89.19 / $117.94 / $175.53	Facility	AS	$89.19	$117.94	$175.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $485.41 / $639.66 / $2,230.00	Facility		$485.41	$639.66	$2,230.00
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