Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.91 / $4,771.00 / $9,539.00	Facility		$136.91	$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 $136.38 / $526.00 / $925.00	Facility		$136.38	$526.00	$925.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $13.27 / $13.27 / $13.27	Facility	AS	$13.27	$13.27	$13.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.54 / $139.43 / $199.88	Professional		$111.54	$139.43	$199.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.57 / $161.63 / $235.20	Facility		$121.57	$161.63	$235.20
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $30.49 / $35.60 / $49.65	Facility	80	$30.49	$35.60	$49.65
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $21.34 / $24.92 / $34.75	Facility	AS	$21.34	$24.92	$34.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $121.66 / $154.46 / $279.73	Facility		$121.66	$154.46	$279.73
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