Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,518.01 / $4,771.00 / $9,539.00	Facility		$1,518.01	$4,771.00	$9,539.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $759.01 / $759.01 / $1,822.14	Facility	52	$759.01	$759.01	$1,822.14
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 / $1,526.26	Facility		$490.00	$610.00	$1,526.26
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,198.39 / $1,198.39 / $1,198.39	Facility	52	$1,198.39	$1,198.39	$1,198.39
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $149.80 / $149.80 / $149.80	Facility	AS	$149.80	$149.80	$149.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,236.07 / $1,526.91 / $2,192.73	Professional		$1,236.07	$1,526.91	$2,192.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,376.81 / $1,748.77 / $2,568.21	Facility		$1,376.81	$1,748.77	$2,568.21
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $321.60 / $352.00 / $672.60	Facility	80	$321.60	$352.00	$672.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $225.12 / $246.40 / $470.82	Facility	AS	$225.12	$246.40	$470.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,319.24 / $1,643.20 / $2,959.12	Facility		$1,319.24	$1,643.20	$2,959.12
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