Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.72 / $5,425.39 / $11,024.00	Facility		$692.72	$5,425.39	$11,024.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $1,540.24 / $1,896.02	Facility		$610.00	$1,540.24	$1,896.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.25 / $66.25 / $66.25	Facility	AS	$66.25	$66.25	$66.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $551.09 / $680.76 / $1,031.33	Professional		$551.09	$680.76	$1,031.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $612.80 / $782.07 / $1,143.02	Facility		$612.80	$782.07	$1,143.02
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,133.06 / $1,230.00 / $1,743.80	Facility	50	$1,133.06	$1,230.00	$1,743.80
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $151.07 / $164.00 / $232.51	Facility	80	$151.07	$164.00	$232.51
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $104.15 / $114.80 / $162.75	Facility	AS	$104.15	$114.80	$162.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $599.35 / $746.37 / $1,378.51	Facility		$599.35	$746.37	$1,378.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $8,246.00 / $17,187.00	Facility		$1,236.00	$8,246.00	$17,187.00