Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,064.17 / $4,947.22 / $9,539.00	Facility		$2,064.17	$4,947.22	$9,539.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,032.08 / $1,032.08 / $2,473.62	Facility	52	$1,032.08	$1,032.08	$2,473.62
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 / $2,054.82	Facility		$490.00	$610.00	$2,054.82
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,615.65 / $1,615.65 / $1,615.65	Facility	52	$1,615.65	$1,615.65	$1,615.65
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $201.96 / $201.96 / $201.96	Facility	AS	$201.96	$201.96	$201.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,663.03 / $2,054.33 / $2,991.76	Professional		$1,663.03	$2,054.33	$2,991.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,701.00 / $2,251.82 / $3,488.45	Facility		$1,701.00	$2,251.82	$3,488.45
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $294.00 / $442.77 / $726.54	Facility	80	$294.00	$442.77	$726.54
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $205.80 / $309.94 / $508.58	Facility	AS	$205.80	$309.94	$508.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,506.71 / $2,166.94 / $3,976.25	Facility		$1,506.71	$2,166.94	$3,976.25
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