Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.84 / $3,416.00 / $9,539.00	Facility		$897.84	$3,416.00	$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 $776.00 / $776.00 / $1,048.86	Facility		$776.00	$776.00	$1,048.86
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $104.89 / $104.89 / $104.89	Facility	AS	$104.89	$104.89	$104.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.84 / $1,004.01 / $1,186.56	Professional		$783.84	$1,004.01	$1,186.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $672.57 / $951.97 / $1,478.19	Facility		$672.57	$951.97	$1,478.19
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $203.40 / $281.39 / $407.42	Facility	80	$203.40	$281.39	$407.42
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $142.38 / $196.98 / $285.19	Facility	AS	$142.38	$196.98	$285.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $592.55 / $794.09 / $2,985.75	Facility		$592.55	$794.09	$2,985.75
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