Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.53 / $5,282.00 / $9,539.00	Facility		$744.53	$5,282.00	$9,539.00
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 $71.20 / $71.20 / $71.20	Facility	AS	$71.20	$71.20	$71.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.13 / $731.45 / $1,044.93	Professional		$592.13	$731.45	$1,044.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $649.50 / $814.98 / $1,253.95	Facility		$649.50	$814.98	$1,253.95
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $140.80 / $152.76 / $250.79	Facility	80	$140.80	$152.76	$250.79
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $98.56 / $106.93 / $175.55	Facility	AS	$98.56	$106.93	$175.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $619.66 / $768.65 / $1,485.62	Facility		$619.66	$768.65	$1,485.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,514.00 / $7,466.00 / $17,104.00	Facility		$1,514.00	$7,466.00	$17,104.00