Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,096.96 / $5,412.00 / $11,024.00	Facility		$3,096.96	$5,412.00	$11,024.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $3,074.84	Facility		$640.00	$640.00	$3,074.84
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,890.19 / $1,890.19 / $1,890.19	Facility	62	$1,890.19	$1,890.19	$1,890.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,565.10 / $3,283.33 / $3,811.89	Professional		$2,565.10	$3,283.33	$3,811.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,829.30 / $3,635.00 / $5,102.42	Facility		$2,829.30	$3,635.00	$5,102.42
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $707.06 / $841.80 / $1,435.61	Facility	80	$707.06	$841.80	$1,435.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,693.62 / $3,613.92 / $7,902.00	Facility		$2,693.62	$3,613.92	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,074.00 / $21,538.00	Facility		$3,028.00	$11,074.00	$21,538.00