Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.75 / $5,048.00 / $14,796.00	Facility		$791.75	$5,048.00	$14,796.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $925.00	Facility		$490.00	$610.00	$925.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $79.00 / $79.00 / $79.00	Facility	AS	$79.00	$79.00	$79.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $655.73 / $810.02 / $1,156.89	Professional		$655.73	$810.02	$1,156.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $703.44 / $902.56 / $1,346.14	Facility		$703.44	$902.56	$1,346.14
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $154.00 / $169.45 / $281.25	Facility	80	$154.00	$169.45	$281.25
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $107.80 / $118.62 / $196.87	Facility	AS	$107.80	$118.62	$196.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $669.07 / $849.91 / $1,646.08	Facility		$669.07	$849.91	$1,646.08
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,680.00	Facility		$908.00	$5,815.00	$12,680.00