Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,280.94 / $5,087.00 / $8,920.00	Facility		$2,280.94	$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 $2,565.08 / $2,565.08 / $2,565.08	Facility		$2,565.08	$2,565.08	$2,565.08
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,579.13 / $1,579.13 / $1,579.13	Facility	62	$1,579.13	$1,579.13	$1,579.13
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $252.66 / $252.66 / $252.66	Facility	AS	$252.66	$252.66	$252.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,332.77 / $2,578.33 / $3,069.44	Professional		$2,332.77	$2,578.33	$3,069.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,088.36 / $2,640.30 / $4,187.66	Facility		$2,088.36	$2,640.30	$4,187.66
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $428.15 / $487.60 / $585.04	Facility	80	$428.15	$487.60	$585.04
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $299.70 / $341.32 / $409.54	Facility	AS	$299.70	$341.32	$409.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,189.84 / $2,969.80 / $8,260.00	Facility		$2,189.84	$2,969.80	$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