Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.95 / $4,891.00 / $9,539.00	Facility		$1,189.95	$4,891.00	$9,539.00
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 $640.00 / $640.00 / $987.25	Facility		$640.00	$640.00	$987.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $98.72 / $98.72 / $98.72	Facility	AS	$98.72	$98.72	$98.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $835.56 / $1,069.98 / $1,264.52	Professional		$835.56	$1,069.98	$1,264.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $904.42 / $1,141.54 / $1,657.92	Facility		$904.42	$1,141.54	$1,657.92
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $207.28 / $303.32 / $444.81	Facility	80	$207.28	$303.32	$444.81
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $145.09 / $212.33 / $311.37	Facility	AS	$145.09	$212.33	$311.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $843.68 / $1,121.16 / $3,773.03	Facility		$843.68	$1,121.16	$3,773.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00