Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,690.15 / $5,412.00 / $11,425.00	Facility		$1,690.15	$5,412.00	$11,425.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $20,977.18 / $29,216.95	Facility		$7,142.00	$20,977.18	$29,216.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,720.92	Facility		$640.00	$640.00	$1,720.92
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,069.99 / $1,069.99 / $1,069.99	Facility	62	$1,069.99	$1,069.99	$1,069.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.20 / $171.20 / $171.20	Facility	AS	$171.20	$171.20	$171.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,438.94 / $1,855.78 / $2,193.19	Professional		$1,438.94	$1,855.78	$2,193.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,561.29 / $1,977.48 / $3,000.00	Facility		$1,561.29	$1,977.48	$3,000.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $343.40 / $432.60 / $773.33	Facility	80	$343.40	$432.60	$773.33
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $240.38 / $302.82 / $541.33	Facility	AS	$240.38	$302.82	$541.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,445.02 / $1,913.20 / $6,397.96	Facility		$1,445.02	$1,913.20	$6,397.96
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