Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,974.11 / $6,827.70 / $11,425.00	Facility		$1,974.11	$6,827.70	$11,425.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $896.43 / $987.06 / $2,351.19	Facility	52	$896.43	$987.06	$2,351.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,118.00 / $37,782.72 / $52,623.67	Facility		$15,118.00	$37,782.72	$52,623.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,967.28	Facility		$640.00	$640.00	$1,967.28
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,554.50 / $1,554.50 / $1,554.50	Facility	52	$1,554.50	$1,554.50	$1,554.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $194.31 / $194.31 / $194.31	Facility	AS	$194.31	$194.31	$194.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,646.50 / $2,107.52 / $2,470.17	Professional		$1,646.50	$2,107.52	$2,470.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,792.85 / $2,333.03 / $3,276.78	Facility		$1,792.85	$2,333.03	$3,276.78
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $459.27 / $467.61 / $910.94	Facility	80	$459.27	$467.61	$910.94
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $321.49 / $327.33 / $637.66	Facility	AS	$321.49	$327.33	$637.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,709.93 / $2,240.01 / $7,420.00	Facility		$1,709.93	$2,240.01	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,024.00 / $26,537.00	Facility		$7,408.00	$13,024.00	$26,537.00