Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.68 / $5,412.00 / $13,209.00	Facility		$1,400.68	$5,412.00	$13,209.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,407.32 / $1,407.32 / $1,700.00	Facility		$1,407.32	$1,407.32	$1,700.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $139.58 / $139.58 / $139.58	Facility	AS	$139.58	$139.58	$139.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,167.58 / $1,511.00 / $1,785.73	Professional		$1,167.58	$1,511.00	$1,785.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,280.09 / $1,625.09 / $2,483.37	Facility		$1,280.09	$1,625.09	$2,483.37
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $262.20 / $434.21 / $717.02	Facility	80	$262.20	$434.21	$717.02
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $183.54 / $303.95 / $501.91	Facility	AS	$183.54	$303.95	$501.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,168.81 / $1,560.49 / $5,249.05	Facility		$1,168.81	$1,560.49	$5,249.05
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00