Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.36 / $3,309.00 / $8,294.00	Facility		$532.36	$3,309.00	$8,294.00
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 $538.97 / $538.97 / $572.00	Facility		$538.97	$538.97	$572.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $53.50 / $53.50 / $53.50	Facility	AS	$53.50	$53.50	$53.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $456.78 / $584.67 / $682.54	Professional		$456.78	$584.67	$682.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $488.69 / $651.40 / $974.22	Facility		$488.69	$651.40	$974.22
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $121.50 / $174.14 / $246.97	Facility	80	$121.50	$174.14	$246.97
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $85.05 / $121.90 / $172.88	Facility	AS	$85.05	$121.90	$172.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $477.14 / $648.04 / $2,048.91	Facility		$477.14	$648.04	$2,048.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00