Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,025.58 / $4,543.00 / $8,900.00	Facility		$1,025.58	$4,543.00	$8,900.00
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 $637.63 / $637.63 / $640.00	Facility		$637.63	$637.63	$640.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.23 / $63.23 / $63.23	Facility	AS	$63.23	$63.23	$63.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $539.71 / $690.83 / $807.17	Professional		$539.71	$690.83	$807.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $582.86 / $760.89 / $1,171.00	Facility		$582.86	$760.89	$1,171.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $143.01 / $200.11 / $293.50	Facility	80	$143.01	$200.11	$293.50
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $100.11 / $140.08 / $205.45	Facility	AS	$100.11	$140.08	$205.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $557.51 / $743.76 / $2,455.62	Facility		$557.51	$743.76	$2,455.62
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00