Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,110.69 / $5,050.46 / $14,187.00	Facility		$2,110.69	$5,050.46	$14,187.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,055.34 / $1,055.34 / $2,525.23	Facility	52	$1,055.34	$1,055.34	$2,525.23
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 / $2,094.52	Facility		$490.00	$610.00	$2,094.52
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,648.76 / $1,648.76 / $1,648.76	Facility	52	$1,648.76	$1,648.76	$1,648.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $206.10 / $206.10 / $206.10	Facility	AS	$206.10	$206.10	$206.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,703.46 / $2,104.27 / $3,064.67	Professional		$1,703.46	$2,104.27	$3,064.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,849.99 / $2,363.30 / $3,567.08	Facility		$1,849.99	$2,363.30	$3,567.08
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $387.00 / $455.16 / $744.02	Facility	80	$387.00	$455.16	$744.02
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $270.89 / $318.61 / $520.82	Facility	AS	$270.89	$318.61	$520.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,746.30 / $2,225.52 / $4,062.68	Facility		$1,746.30	$2,225.52	$4,062.68
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,928.00 / $5,445.00	Facility		$425.00	$2,928.00	$5,445.00