Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.41 / $4,570.43 / $22,463.00	Facility		$705.41	$4,570.43	$22,463.00
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 $450.12 / $450.12 / $640.00	Facility		$450.12	$450.12	$640.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $276.13 / $276.13 / $276.13	Facility	62	$276.13	$276.13	$276.13
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $44.18 / $44.18 / $44.18	Facility	AS	$44.18	$44.18	$44.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.16 / $472.10 / $557.92	Professional		$367.16	$472.10	$557.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $406.65 / $531.62 / $744.17	Facility		$406.65	$531.62	$744.17
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $102.96 / $106.32 / $206.23	Facility	80	$102.96	$106.32	$206.23
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $72.06 / $74.43 / $144.36	Facility	AS	$72.06	$74.43	$144.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $383.65 / $506.26 / $1,871.96	Facility		$383.65	$506.26	$1,871.96
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00