Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,827.63 / $7,541.00 / $30,682.00	Facility		$1,827.63	$7,541.00	$30,682.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $830.92 / $913.82 / $2,175.78	Facility	52	$830.92	$913.82	$2,175.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,861.00 / $27,843.00 / $30,195.00	Facility		$21,861.00	$27,843.00	$30,195.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,821.59	Facility		$640.00	$640.00	$1,821.59
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,440.27 / $1,440.27 / $1,440.27	Facility	52	$1,440.27	$1,440.27	$1,440.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $180.03 / $180.03 / $180.03	Facility	AS	$180.03	$180.03	$180.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,526.01 / $1,953.29 / $2,290.19	Professional		$1,526.01	$1,953.29	$2,290.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,661.83 / $2,159.92 / $3,035.22	Facility		$1,661.83	$2,159.92	$3,035.22
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $297.87 / $303.01 / $590.29	Facility	AS	$297.87	$303.01	$590.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,583.24 / $2,074.04 / $6,585.00	Facility		$1,583.24	$2,074.04	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,671.00 / $29,685.00	Facility		$6,423.00	$11,671.00	$29,685.00