Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,039.36 / $12,593.00 / $36,879.00	Facility		$3,039.36	$12,593.00	$36,879.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $904.11 / $990.83 / $2,883.34	Facility	52	$904.11	$990.83	$2,883.34
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 / $1,984.25	Facility		$640.00	$640.00	$1,984.25
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,569.13 / $1,569.13 / $1,569.13	Facility	52	$1,569.13	$1,569.13	$1,569.13
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $196.14 / $196.14 / $196.14	Facility	AS	$196.14	$196.14	$196.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,661.83 / $2,127.14 / $2,497.11	Professional		$1,661.83	$2,127.14	$2,497.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,808.22 / $2,355.34 / $3,465.00	Facility		$1,808.22	$2,355.34	$3,465.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $439.59 / $619.55 / $914.05	Facility	80	$439.59	$619.55	$914.05
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $307.70 / $433.69 / $639.83	Facility	AS	$307.70	$433.69	$639.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,643.83 / $2,272.57 / $7,517.89	Facility		$1,643.83	$2,272.57	$7,517.89
United Facility/Professional Facility Modifier Low / Median / High Price $10,071.00 / $18,899.00 / $40,649.00	Facility		$10,071.00	$18,899.00	$40,649.00