Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,793.60 / $5,412.00 / $14,187.00	Facility		$1,793.60	$5,412.00	$14,187.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44,384.00 / $57,780.00 / $64,257.00	Facility		$44,384.00	$57,780.00	$64,257.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,799.47	Facility		$640.00	$640.00	$1,799.47
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,113.57 / $1,113.57 / $1,113.57	Facility	62	$1,113.57	$1,113.57	$1,113.57
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $178.17 / $178.17 / $178.17	Facility	AS	$178.17	$178.17	$178.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,493.26 / $1,918.39 / $2,267.19	Professional		$1,493.26	$1,918.39	$2,267.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,638.96 / $2,086.26 / $3,164.95	Facility		$1,638.96	$2,086.26	$3,164.95
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $390.49 / $558.54 / $821.14	Facility	80	$390.49	$558.54	$821.14
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $273.33 / $390.98 / $574.79	Facility	AS	$273.33	$390.98	$574.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,503.24 / $2,035.31 / $6,836.00	Facility		$1,503.24	$2,035.31	$6,836.00
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