Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $952.95 / $3,912.00 / $8,294.00	Facility		$952.95	$3,912.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,894.64 / $5,931.00 / $7,758.45	Facility		$3,894.64	$5,931.00	$7,758.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $958.75	Facility		$490.00	$610.00	$958.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $94.32 / $94.32 / $94.32	Facility	AS	$94.32	$94.32	$94.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $779.85 / $963.34 / $1,377.61	Professional		$779.85	$963.34	$1,377.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $840.00 / $1,076.25 / $1,610.49	Facility		$840.00	$1,076.25	$1,610.49
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $168.20 / $206.20 / $334.92	Facility	80	$168.20	$206.20	$334.92
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $117.74 / $144.34 / $234.45	Facility	AS	$117.74	$144.34	$234.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $799.75 / $1,026.94 / $1,914.42	Facility		$799.75	$1,026.94	$1,914.42
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00