Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,784.00 / $9,100.31 / $22,601.88	Facility		$2,784.00	$9,100.31	$22,601.88
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 / $1,971.38	Facility		$490.00	$610.00	$1,971.38
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,205.60 / $1,205.60 / $1,205.60	Facility	62	$1,205.60	$1,205.60	$1,205.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $192.90 / $192.90 / $192.90	Facility	AS	$192.90	$192.90	$192.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,586.22 / $1,959.45 / $2,890.34	Professional		$1,586.22	$1,959.45	$2,890.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,802.87 / $2,246.83 / $3,287.27	Facility		$1,802.87	$2,246.83	$3,287.27
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $439.04 / $449.37 / $701.00	Facility	80	$439.04	$449.37	$701.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $307.33 / $314.56 / $490.70	Facility	AS	$307.33	$314.56	$490.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,771.98 / $2,211.67 / $4,033.35	Facility		$1,771.98	$2,211.67	$4,033.35
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