Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $910.89 / $5,087.00 / $8,294.00	Facility		$910.89	$5,087.00	$8,294.00
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 / $939.63	Facility		$640.00	$640.00	$939.63
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $93.73 / $93.73 / $93.73	Facility	AS	$93.73	$93.73	$93.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.12 / $1,020.31 / $1,203.60	Professional		$797.12	$1,020.31	$1,203.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $779.50 / $1,019.47 / $1,525.20	Facility		$779.50	$1,019.47	$1,525.20
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $178.90 / $228.20 / $420.37	Facility	80	$178.90	$228.20	$420.37
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $125.23 / $159.74 / $294.26	Facility	AS	$125.23	$159.74	$294.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $718.03 / $1,010.59 / $3,542.19	Facility		$718.03	$1,010.59	$3,542.19
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