Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.80 / $5,042.39 / $14,796.00	Facility		$408.80	$5,042.39	$14,796.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.17 / $408.17 / $640.00	Facility		$408.17	$408.17	$640.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $250.26 / $250.26 / $250.26	Facility	62	$250.26	$250.26	$250.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $40.04 / $40.04 / $40.04	Facility	AS	$40.04	$40.04	$40.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.18 / $427.75 / $505.10	Professional		$334.18	$427.75	$505.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $367.81 / $475.55 / $716.58	Facility		$367.81	$475.55	$716.58
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $91.34 / $110.40 / $187.40	Facility	80	$91.34	$110.40	$187.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $63.94 / $77.28 / $131.18	Facility	AS	$63.94	$77.28	$131.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $351.27 / $477.89 / $882.40	Facility		$351.27	$477.89	$882.40
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,375.00	Facility		$231.00	$1,045.00	$2,375.00