Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.33 / $6,827.70 / $23,781.00	Facility		$1,659.33	$6,827.70	$23,781.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $755.86 / $829.67 / $1,976.20	Facility	52	$755.86	$829.67	$1,976.20
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 / $1,659.29	Facility		$640.00	$640.00	$1,659.29
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,312.03 / $1,312.03 / $1,312.03	Facility	52	$1,312.03	$1,312.03	$1,312.03
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $164.00 / $164.00 / $164.00	Facility	AS	$164.00	$164.00	$164.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,390.22 / $1,779.48 / $2,088.96	Professional		$1,390.22	$1,779.48	$2,088.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,511.71 / $1,970.51 / $2,893.08	Facility		$1,511.71	$1,970.51	$2,893.08
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $368.35 / $471.00 / $765.31	Facility	80	$368.35	$471.00	$765.31
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $257.85 / $329.70 / $535.72	Facility	AS	$257.85	$329.70	$535.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,379.35 / $1,881.02 / $6,421.76	Facility		$1,379.35	$1,881.02	$6,421.76
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