Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,107.71 / $8,900.00 / $26,140.68	Facility		$2,107.71	$8,900.00	$26,140.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,749.72	Facility		$490.00	$610.00	$1,749.72
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,070.46 / $1,070.46 / $1,070.46	Facility	62	$1,070.46	$1,070.46	$1,070.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.27 / $171.27 / $171.27	Facility	AS	$171.27	$171.27	$171.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,407.74 / $1,738.98 / $2,572.04	Professional		$1,407.74	$1,738.98	$2,572.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,603.02 / $1,997.72 / $2,925.26	Facility		$1,603.02	$1,997.72	$2,925.26
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $390.37 / $399.54 / $623.28	Facility	80	$390.37	$399.54	$623.28
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $273.26 / $279.68 / $436.30	Facility	AS	$273.26	$279.68	$436.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,575.89 / $1,966.87 / $3,588.02	Facility		$1,575.89	$1,966.87	$3,588.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $12,407.00 / $26,244.00	Facility		$2,020.00	$12,407.00	$26,244.00