Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.53 / $2,705.00 / $6,827.70	Facility		$748.53	$2,705.00	$6,827.70
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 $572.00 / $572.00 / $800.82	Facility		$572.00	$572.00	$800.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.08 / $80.08 / $80.08	Facility	AS	$80.08	$80.08	$80.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $677.52 / $868.23 / $1,026.08	Professional		$677.52	$868.23	$1,026.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $674.80 / $852.70 / $1,313.71	Facility		$674.80	$852.70	$1,313.71
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $152.40 / $189.87 / $359.95	Facility	80	$152.40	$189.87	$359.95
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $106.68 / $132.91 / $251.96	Facility	AS	$106.68	$132.91	$251.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $596.37 / $879.45 / $3,294.71	Facility		$596.37	$879.45	$3,294.71
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