Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.97 / $4,771.00 / $9,539.00	Facility		$160.97	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.57 / $526.00 / $925.00	Facility		$160.57	$526.00	$925.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $15.62 / $15.62 / $15.62	Facility	AS	$15.62	$15.62	$15.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.54 / $163.18 / $237.37	Professional		$130.54	$163.18	$237.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.38 / $191.49 / $294.58	Facility		$147.38	$191.49	$294.58
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $36.04 / $41.80 / $74.09	Facility	80	$36.04	$41.80	$74.09
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $24.65 / $29.26 / $51.87	Facility	AS	$24.65	$29.26	$51.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $143.43 / $182.05 / $328.67	Facility		$143.43	$182.05	$328.67
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00