Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,296.89 / $5,087.00 / $8,920.00	Facility		$2,296.89	$5,087.00	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,734.00 / $11,244.48 / $15,661.28	Facility		$6,734.00	$11,244.48	$15,661.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,580.13 / $2,580.13 / $2,580.13	Facility		$2,580.13	$2,580.13	$2,580.13
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,589.61 / $1,589.61 / $1,589.61	Facility	62	$1,589.61	$1,589.61	$1,589.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,349.96 / $2,597.33 / $3,092.06	Professional		$2,349.96	$2,597.33	$3,092.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,097.56 / $2,590.12 / $3,944.21	Facility		$2,097.56	$2,590.12	$3,944.21
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $430.31 / $477.20 / $588.50	Facility	80	$430.31	$477.20	$588.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,173.98 / $2,994.46 / $8,260.00	Facility		$2,173.98	$2,994.46	$8,260.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00