Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.91 / $5,087.00 / $8,294.00	Facility		$819.91	$5,087.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $806.35	Facility		$640.00	$640.00	$806.35
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $78.93 / $78.93 / $78.93	Facility	AS	$78.93	$78.93	$78.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $673.39 / $861.94 / $996.62	Professional		$673.39	$861.94	$996.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $717.85 / $957.61 / $1,342.23	Facility		$717.85	$957.61	$1,342.23
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,264.50 / $1,444.01 / $2,859.62	Facility	50	$1,264.50	$1,444.01	$2,859.62
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $118.02 / $134.77 / $266.89	Facility	AS	$118.02	$134.77	$266.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $673.39 / $921.39 / $3,155.36	Facility		$673.39	$921.39	$3,155.36
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