Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,720.49 / $5,412.00 / $11,425.00	Facility		$2,720.49	$5,412.00	$11,425.00
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 / $2,733.97	Facility		$640.00	$640.00	$2,733.97
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,688.18 / $1,688.18 / $1,688.18	Facility	62	$1,688.18	$1,688.18	$1,688.18
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $270.11 / $270.11 / $270.11	Facility	AS	$270.11	$270.11	$270.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,255.12 / $2,895.64 / $3,422.12	Professional		$2,255.12	$2,895.64	$3,422.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,488.21 / $3,128.75 / $4,444.30	Facility		$2,488.21	$3,128.75	$4,444.30
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $585.79 / $716.14 / $1,244.93	Facility	80	$585.79	$716.14	$1,244.93
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $410.06 / $501.30 / $871.45	Facility	AS	$410.06	$501.30	$871.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,273.98 / $2,990.12 / $7,902.00	Facility		$2,273.98	$2,990.12	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00