Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.51 / $5,282.00 / $9,491.29	Facility		$955.51	$5,282.00	$9,491.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,168.00 / $4,733.93 / $6,626.56	Facility		$3,168.00	$4,733.93	$6,626.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $964.50	Facility		$490.00	$610.00	$964.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $95.41 / $95.41 / $95.41	Facility	AS	$95.41	$95.41	$95.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $791.95 / $978.30 / $1,395.28	Professional		$791.95	$978.30	$1,395.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $835.64 / $1,070.17 / $1,576.59	Facility		$835.64	$1,070.17	$1,576.59
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $158.88 / $207.60 / $335.82	Facility	80	$158.88	$207.60	$335.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $111.22 / $145.32 / $235.07	Facility	AS	$111.22	$145.32	$235.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $800.11 / $1,024.49 / $1,882.72	Facility		$800.11	$1,024.49	$1,882.72
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,680.00	Facility		$908.00	$5,815.00	$12,680.00