Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,020.62 / $8,259.46 / $23,601.00	Facility		$3,020.62	$8,259.46	$23,601.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27,911.00 / $35,168.00 / $39,556.00	Facility		$27,911.00	$35,168.00	$39,556.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,938.95	Facility		$640.00	$640.00	$1,938.95
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,200.02 / $1,200.02 / $1,200.02	Facility	62	$1,200.02	$1,200.02	$1,200.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $192.00 / $192.00 / $192.00	Facility	AS	$192.00	$192.00	$192.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,600.72 / $2,067.35 / $2,443.23	Professional		$1,600.72	$2,067.35	$2,443.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,776.84 / $2,276.26 / $3,245.82	Facility		$1,776.84	$2,276.26	$3,245.82
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $446.69 / $598.66 / $956.78	Facility	80	$446.69	$598.66	$956.78
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $312.68 / $419.06 / $669.75	Facility	AS	$312.68	$419.06	$669.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,644.45 / $2,179.98 / $7,414.68	Facility		$1,644.45	$2,179.98	$7,414.68
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