Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.80 / $5,812.37 / $14,796.00	Facility		$936.80	$5,812.37	$14,796.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49,208.00 / $62,509.00 / $67,760.00	Facility		$49,208.00	$62,509.00	$67,760.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $960.09 / $960.09 / $1,700.00	Facility		$960.09	$960.09	$1,700.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $95.44 / $95.44 / $95.44	Facility	AS	$95.44	$95.44	$95.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $802.84 / $1,038.97 / $1,227.88	Professional		$802.84	$1,038.97	$1,227.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $860.17 / $1,096.06 / $1,665.88	Facility		$860.17	$1,096.06	$1,665.88
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $177.00 / $295.33 / $491.60	Facility	80	$177.00	$295.33	$491.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $123.90 / $206.74 / $344.12	Facility	AS	$123.90	$206.74	$344.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $802.58 / $1,061.32 / $3,894.80	Facility		$802.58	$1,061.32	$3,894.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,621.00 / $22,727.00 / $46,138.00	Facility		$7,621.00	$22,727.00	$46,138.00