Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.09 / $6,827.70 / $13,546.04	Facility		$1,316.09	$6,827.70	$13,546.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $24,315.57 / $24,315.57 / $24,315.57	Facility	50	$24,315.57	$24,315.57	$24,315.57
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 / $1,356.00 / $1,896.02	Facility		$610.00	$1,356.00	$1,896.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.36 / $71.36 / $71.36	Facility	AS	$71.36	$71.36	$71.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.16 / $731.50 / $1,042.77	Professional		$592.16	$731.50	$1,042.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $650.65 / $840.42 / $1,227.85	Facility		$650.65	$840.42	$1,227.85
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,138.50 / $1,308.00 / $1,881.24	Facility	50	$1,138.50	$1,308.00	$1,881.24
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $151.80 / $174.40 / $250.83	Facility	80	$151.80	$174.40	$250.83
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $104.89 / $122.08 / $175.58	Facility	AS	$104.89	$122.08	$175.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $627.14 / $774.86 / $1,486.90	Facility		$627.14	$774.86	$1,486.90
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