Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,313.48 / $5,360.00 / $9,347.59	Facility		$1,313.48	$5,360.00	$9,347.59
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 $727.61 / $727.61 / $776.00	Facility		$727.61	$727.61	$776.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $72.09 / $72.09 / $72.09	Facility	AS	$72.09	$72.09	$72.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $618.21 / $791.31 / $927.06	Professional		$618.21	$791.31	$927.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $661.27 / $841.93 / $1,214.45	Facility		$661.27	$841.93	$1,214.45
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $157.13 / $227.30 / $333.21	Facility	80	$157.13	$227.30	$333.21
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $110.00 / $159.11 / $233.24	Facility	AS	$110.00	$159.11	$233.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $622.87 / $819.78 / $2,784.87	Facility		$622.87	$819.78	$2,784.87
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00