Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,383.65 / $5,412.00 / $14,796.00	Facility		$1,383.65	$5,412.00	$14,796.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $691.83 / $691.83 / $1,662.42	Facility	52	$691.83	$691.83	$1,662.42
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $276.73 / $276.73 / $664.97	Facility	53	$276.73	$276.73	$664.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,391.39	Facility		$490.00	$610.00	$1,391.39
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,091.32 / $1,091.32 / $1,091.32	Facility	52	$1,091.32	$1,091.32	$1,091.32
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $272.83 / $272.83 / $272.83	Facility	53	$272.83	$272.83	$272.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $136.41 / $136.41 / $136.41	Facility	AS	$136.41	$136.41	$136.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,125.48 / $1,390.29 / $1,998.49	Professional		$1,125.48	$1,390.29	$1,998.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,224.55 / $1,565.23 / $2,338.37	Facility		$1,224.55	$1,565.23	$2,338.37
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $260.00 / $300.22 / $486.91	Facility	80	$260.00	$300.22	$486.91
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $182.00 / $210.15 / $340.84	Facility	AS	$182.00	$210.15	$340.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,153.22 / $1,468.03 / $2,694.27	Facility		$1,153.22	$1,468.03	$2,694.27
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00