Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $889.00 / $3,633.00 / $8,294.00	Facility		$889.00	$3,633.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $675.90	Facility		$572.00	$572.00	$675.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.33 / $67.33 / $67.33	Facility	AS	$67.33	$67.33	$67.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $570.51 / $730.43 / $863.24	Professional		$570.51	$730.43	$863.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $611.79 / $754.36 / $1,155.14	Facility		$611.79	$754.36	$1,155.14
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $88.62 / $144.59 / $246.93	Facility	AS	$88.62	$144.59	$246.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $573.96 / $745.98 / $2,558.09	Facility		$573.96	$745.98	$2,558.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00