Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,724.21 / $8,294.00 / $30,682.00	Facility		$1,724.21	$8,294.00	$30,682.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $784.79 / $862.11 / $2,053.90	Facility	52	$784.79	$862.11	$2,053.90
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 / $1,723.69	Facility		$640.00	$640.00	$1,723.69
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,362.43 / $1,362.43 / $1,362.43	Facility	52	$1,362.43	$1,362.43	$1,362.43
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $170.30 / $170.30 / $170.30	Facility	AS	$170.30	$170.30	$170.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,443.74 / $1,847.99 / $2,168.80	Professional		$1,443.74	$1,847.99	$2,168.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,569.57 / $2,038.39 / $3,004.19	Facility		$1,569.57	$2,038.39	$3,004.19
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $368.20 / $454.40 / $795.34	Facility	80	$368.20	$454.40	$795.34
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $257.74 / $318.08 / $556.74	Facility	AS	$257.74	$318.08	$556.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,437.36 / $1,984.90 / $6,537.85	Facility		$1,437.36	$1,984.90	$6,537.85
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