Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,002.57 / $4,807.92 / $9,539.00	Facility		$2,002.57	$4,807.92	$9,539.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,001.29 / $1,001.29 / $2,403.96	Facility	52	$1,001.29	$1,001.29	$2,403.96
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 / $2,001.71	Facility		$490.00	$610.00	$2,001.71
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,570.62 / $1,570.62 / $1,570.62	Facility	52	$1,570.62	$1,570.62	$1,570.62
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $196.33 / $196.33 / $196.33	Facility	AS	$196.33	$196.33	$196.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,617.19 / $1,997.71 / $2,892.36	Professional		$1,617.19	$1,997.71	$2,892.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,680.00 / $2,184.62 / $3,384.34	Facility		$1,680.00	$2,184.62	$3,384.34
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $308.39 / $432.67 / $705.21	Facility	80	$308.39	$432.67	$705.21
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $215.88 / $302.87 / $493.65	Facility	AS	$215.88	$302.87	$493.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,558.48 / $2,117.78 / $3,855.44	Facility		$1,558.48	$2,117.78	$3,855.44
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