Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,456.80 / $7,849.00 / $21,892.00	Facility		$1,456.80	$7,849.00	$21,892.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35,213.08 / $54,001.38 / $75,212.97	Facility		$35,213.08	$54,001.38	$75,212.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,486.82	Facility		$640.00	$640.00	$1,486.82
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $925.06 / $925.06 / $925.06	Facility	62	$925.06	$925.06	$925.06
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $148.01 / $148.01 / $148.01	Facility	AS	$148.01	$148.01	$148.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,241.38 / $1,606.50 / $1,898.59	Professional		$1,241.38	$1,606.50	$1,898.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,334.96 / $1,706.24 / $2,640.21	Facility		$1,334.96	$1,706.24	$2,640.21
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $307.37 / $457.96 / $663.37	Facility	80	$307.37	$457.96	$663.37
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $215.16 / $320.57 / $464.36	Facility	AS	$215.16	$320.57	$464.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,243.35 / $1,620.92 / $5,486.84	Facility		$1,243.35	$1,620.92	$5,486.84
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