Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,159.35 / $8,294.00 / $30,796.00	Facility		$2,159.35	$8,294.00	$30,796.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $979.40 / $1,079.68 / $2,575.11	Facility	52	$979.40	$1,079.68	$2,575.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,416.45 / $37,782.72 / $52,623.67	Facility		$26,416.45	$37,782.72	$52,623.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,155.96	Facility		$640.00	$640.00	$2,155.96
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,701.26 / $1,701.26 / $1,701.26	Facility	52	$1,701.26	$1,701.26	$1,701.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $212.66 / $212.66 / $212.66	Facility	AS	$212.66	$212.66	$212.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,800.82 / $2,305.05 / $2,702.01	Professional		$1,800.82	$2,305.05	$2,702.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,958.79 / $2,556.32 / $3,951.61	Facility		$1,958.79	$2,556.32	$3,951.61
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $482.36 / $673.16 / $996.34	Facility	80	$482.36	$673.16	$996.34
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $337.65 / $471.21 / $697.44	Facility	AS	$337.65	$471.21	$697.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,802.68 / $2,445.08 / $7,902.00	Facility		$1,802.68	$2,445.08	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $10,459.00 / $26,911.00 / $43,534.00	Facility		$10,459.00	$26,911.00	$43,534.00