Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.00 / $3,645.00 / $8,944.54	Facility		$868.00	$3,645.00	$8,944.54
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 $565.41 / $565.41 / $572.00	Facility		$565.41	$565.41	$572.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.11 / $56.11 / $56.11	Facility	AS	$56.11	$56.11	$56.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $480.45 / $614.98 / $719.12	Professional		$480.45	$614.98	$719.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $515.38 / $651.04 / $939.96	Facility		$515.38	$651.04	$939.96
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $86.81 / $108.50 / $179.42	Facility	AS	$86.81	$108.50	$179.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $498.04 / $651.17 / $2,139.30	Facility		$498.04	$651.17	$2,139.30
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