Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,430.64 / $8,294.00 / $20,000.00	Facility		$1,430.64	$8,294.00	$20,000.00
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 / $1,463.39	Facility		$640.00	$640.00	$1,463.39
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $908.75 / $908.75 / $908.75	Facility	62	$908.75	$908.75	$908.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $145.40 / $145.40 / $145.40	Facility	AS	$145.40	$145.40	$145.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,221.38 / $1,580.61 / $1,868.00	Professional		$1,221.38	$1,580.61	$1,868.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,317.22 / $1,678.03 / $2,413.52	Facility		$1,317.22	$1,678.03	$2,413.52
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $302.49 / $413.60 / $652.62	Facility	80	$302.49	$413.60	$652.62
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $211.74 / $289.52 / $456.83	Facility	AS	$211.74	$289.52	$456.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,223.44 / $1,592.90 / $5,511.10	Facility		$1,223.44	$1,592.90	$5,511.10
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