Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.77 / $7,796.00 / $15,742.00	Facility		$977.77	$7,796.00	$15,742.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,517.00 / $8,960.95 / $21,129.98	Facility	50	$8,517.00	$8,960.95	$21,129.98
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 $610.00 / $1,356.00 / $3,218.20	Facility		$610.00	$1,356.00	$3,218.20
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.51 / $657.80 / $939.72	Professional		$532.51	$657.80	$939.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $583.89 / $735.00 / $1,093.63	Facility		$583.89	$735.00	$1,093.63
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $997.50 / $1,102.50 / $1,675.62	Facility	50	$997.50	$1,102.50	$1,675.62
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $133.00 / $147.00 / $223.42	Facility	80	$133.00	$147.00	$223.42
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $93.10 / $102.90 / $156.38	Facility	AS	$93.10	$102.90	$156.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $546.70 / $679.85 / $1,326.32	Facility		$546.70	$679.85	$1,326.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $12,407.00 / $26,244.00	Facility		$2,020.00	$12,407.00	$26,244.00