Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,581.21 / $8,517.00 / $30,000.00	Facility		$2,581.21	$8,517.00	$30,000.00
Aetna Facility/Professional Facility Modifier 62 Low / Median / High Price $8,517.00 / $8,517.00 / $8,517.00	Facility	62	$8,517.00	$8,517.00	$8,517.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38,700.57 / $57,418.74 / $75,212.97	Facility		$38,700.57	$57,418.74	$75,212.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,738.20	Facility		$640.00	$640.00	$1,738.20
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,073.02 / $1,073.02 / $1,073.02	Facility	62	$1,073.02	$1,073.02	$1,073.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.68 / $171.68 / $171.68	Facility	AS	$171.68	$171.68	$171.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,439.68 / $1,845.18 / $2,180.67	Professional		$1,439.68	$1,845.18	$2,180.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,584.17 / $2,037.20 / $3,000.00	Facility		$1,584.17	$2,037.20	$3,000.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $378.99 / $538.91 / $794.67	Facility	80	$378.99	$538.91	$794.67
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $265.29 / $377.25 / $556.27	Facility	AS	$265.29	$377.25	$556.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,448.82 / $1,970.23 / $6,541.46	Facility		$1,448.82	$1,970.23	$6,541.46
United Facility/Professional Facility Modifier Low / Median / High Price $7,621.00 / $25,197.00 / $42,546.00	Facility		$7,621.00	$25,197.00	$42,546.00