Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.58 / $1,990.00 / $7,275.00	Facility		$732.58	$1,990.00	$7,275.00
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 $572.00 / $572.00 / $740.17	Facility		$572.00	$572.00	$740.17
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $73.45 / $73.45 / $73.45	Facility	AS	$73.45	$73.45	$73.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $626.87 / $802.39 / $939.65	Professional		$626.87	$802.39	$939.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $676.27 / $873.79 / $1,280.56	Facility		$676.27	$873.79	$1,280.56
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $165.01 / $237.38 / $339.09	Facility	80	$165.01	$237.38	$339.09
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $115.51 / $166.17 / $237.36	Facility	AS	$115.51	$166.17	$237.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $628.79 / $847.37 / $2,838.92	Facility		$628.79	$847.37	$2,838.92
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