Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,163.02 / $6,931.66 / $13,209.00	Facility		$2,163.02	$6,931.66	$13,209.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54,555.00 / $69,811.00 / $75,463.00	Facility		$54,555.00	$69,811.00	$75,463.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,059.71	Facility		$640.00	$640.00	$2,059.71
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,274.33 / $1,274.33 / $1,274.33	Facility	62	$1,274.33	$1,274.33	$1,274.33
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $203.90 / $203.90 / $203.90	Facility	AS	$203.90	$203.90	$203.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,706.03 / $2,199.35 / $2,599.23	Professional		$1,706.03	$2,199.35	$2,599.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,884.47 / $2,435.57 / $3,422.51	Facility		$1,884.47	$2,435.57	$3,422.51
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $485.88 / $487.11 / $957.35	Facility	80	$485.88	$487.11	$957.35
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $340.12 / $340.98 / $670.14	Facility	AS	$340.12	$340.98	$670.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,782.21 / $2,370.96 / $7,899.35	Facility		$1,782.21	$2,370.96	$7,899.35
United Facility/Professional Facility Modifier Low / Median / High Price $12,150.00 / $25,331.00 / $64,092.00	Facility		$12,150.00	$25,331.00	$64,092.00