Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,092.50 / $3,645.00 / $8,920.00	Facility		$1,092.50	$3,645.00	$8,920.00
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 $1,000.43 / $1,000.43 / $1,000.43	Facility		$1,000.43	$1,000.43	$1,000.43
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $99.92 / $99.92 / $99.92	Facility	AS	$99.92	$99.92	$99.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $830.59 / $977.17 / $1,260.25	Professional		$830.59	$977.17	$1,260.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $829.66 / $1,088.45 / $1,593.69	Facility		$829.66	$1,088.45	$1,593.69
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $212.80 / $220.80 / $506.54	Facility	80	$212.80	$220.80	$506.54
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $148.96 / $154.56 / $354.58	Facility	AS	$148.96	$154.56	$354.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $811.46 / $1,122.46 / $9,929.00	Facility		$811.46	$1,122.46	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00