Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.21 / $5,636.00 / $14,187.00	Facility		$762.21	$5,636.00	$14,187.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $685.00 / $1,142.00	Facility		$610.00	$685.00	$1,142.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $73.15 / $73.15 / $73.15	Facility	AS	$73.15	$73.15	$73.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $605.74 / $748.27 / $1,068.96	Professional		$605.74	$748.27	$1,068.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $674.99 / $853.68 / $1,229.43	Facility		$674.99	$853.68	$1,229.43
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $159.82 / $181.89 / $262.45	Facility	80	$159.82	$181.89	$262.45
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $111.87 / $127.33 / $180.90	Facility	AS	$111.87	$127.33	$180.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $641.58 / $805.93 / $1,526.19	Facility		$641.58	$805.93	$1,526.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $12,407.00 / $26,244.00	Facility		$2,020.00	$12,407.00	$26,244.00