Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,882.75 / $4,796.00 / $9,539.00	Facility		$1,882.75	$4,796.00	$9,539.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $941.38 / $941.38 / $2,258.73	Facility	52	$941.38	$941.38	$2,258.73
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 / $1,874.42	Facility		$490.00	$610.00	$1,874.42
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,471.60 / $1,471.60 / $1,471.60	Facility	52	$1,471.60	$1,471.60	$1,471.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $183.95 / $183.95 / $183.95	Facility	AS	$183.95	$183.95	$183.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,514.86 / $1,871.30 / $2,724.15	Professional		$1,514.86	$1,871.30	$2,724.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,653.14 / $2,127.51 / $3,181.85	Facility		$1,653.14	$2,127.51	$3,181.85
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $359.00 / $408.44 / $662.80	Facility	80	$359.00	$408.44	$662.80
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $251.30 / $285.91 / $463.96	Facility	AS	$251.30	$285.91	$463.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,580.03 / $2,002.22 / $3,658.00	Facility		$1,580.03	$2,002.22	$3,658.00
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