Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.41 / $4,390.00 / $10,508.90	Facility		$1,147.41	$4,390.00	$10,508.90
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 $772.62 / $772.62 / $900.00	Facility		$772.62	$772.62	$900.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $76.76 / $76.76 / $76.76	Facility	AS	$76.76	$76.76	$76.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $653.20 / $836.26 / $988.31	Professional		$653.20	$836.26	$988.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $674.10 / $877.22 / $1,253.89	Facility		$674.10	$877.22	$1,253.89
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $164.26 / $207.20 / $346.11	Facility	80	$164.26	$207.20	$346.11
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $114.98 / $145.04 / $242.27	Facility	AS	$114.98	$145.04	$242.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $655.51 / $857.38 / $3,172.53	Facility		$655.51	$857.38	$3,172.53
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