Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.41 / $4,891.00 / $8,873.17	Facility		$723.41	$4,891.00	$8,873.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.24 / $925.00 / $3,282.37	Facility		$473.24	$925.00	$3,282.37
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.01 / $47.01 / $47.01	Facility	AS	$47.01	$47.01	$47.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $399.06 / $498.83 / $716.24	Professional		$399.06	$498.83	$716.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $438.05 / $591.99 / $901.02	Facility		$438.05	$591.99	$901.02
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $118.40 / $145.75 / $214.36	Facility	80	$118.40	$145.75	$214.36
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $81.48 / $100.35 / $150.05	Facility	AS	$81.48	$100.35	$150.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $421.58 / $564.87 / $978.99	Facility		$421.58	$564.87	$978.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,466.00 / $21,401.00	Facility		$1,745.00	$10,466.00	$21,401.00