Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.50 / $4,196.00 / $9,347.59	Facility		$831.50	$4,196.00	$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 $776.00 / $776.00 / $984.90	Facility		$776.00	$776.00	$984.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $98.49 / $98.49 / $98.49	Facility	AS	$98.49	$98.49	$98.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $746.97 / $959.30 / $1,133.72	Professional		$746.97	$959.30	$1,133.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $619.51 / $887.45 / $1,405.24	Facility		$619.51	$887.45	$1,405.24
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $129.28 / $184.24 / $271.38	Facility	AS	$129.28	$184.24	$271.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $560.13 / $741.49 / $2,504.19	Facility		$560.13	$741.49	$2,504.19
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