Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.08 / $4,613.89 / $11,024.00	Facility		$478.08	$4,613.89	$11,024.00
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 $392.46 / $988.00 / $3,218.20	Facility		$392.46	$988.00	$3,218.20
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $38.74 / $38.74 / $38.74	Facility	AS	$38.74	$38.74	$38.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.82 / $408.53 / $575.52	Professional		$326.82	$408.53	$575.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $358.09 / $456.09 / $698.22	Facility		$358.09	$456.09	$698.22
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $84.87 / $98.20 / $157.97	Facility	80	$84.87	$98.20	$157.97
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $59.41 / $68.73 / $110.58	Facility	AS	$59.41	$68.73	$110.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $350.16 / $432.95 / $805.37	Facility		$350.16	$432.95	$805.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,466.00 / $21,401.00	Facility		$1,745.00	$10,466.00	$21,401.00