Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.22 / $4,796.00 / $9,918.00	Facility		$981.22	$4,796.00	$9,918.00
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 $490.00 / $610.00 / $981.24	Facility		$490.00	$610.00	$981.24
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $96.41 / $96.41 / $96.41	Facility	AS	$96.41	$96.41	$96.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.90 / $983.17 / $1,419.64	Professional		$795.90	$983.17	$1,419.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $859.94 / $1,107.08 / $1,658.26	Facility		$859.94	$1,107.08	$1,658.26
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $189.00 / $212.41 / $346.31	Facility	80	$189.00	$212.41	$346.31
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $132.30 / $148.69 / $242.42	Facility	AS	$132.30	$148.69	$242.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $830.28 / $1,061.74 / $1,904.95	Facility		$830.28	$1,061.74	$1,904.95
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