Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.77 / $4,796.00 / $9,924.37	Facility		$1,404.77	$4,796.00	$9,924.37
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $702.39 / $702.39 / $1,685.50	Facility	52	$702.39	$702.39	$1,685.50
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 / $1,411.74	Facility		$490.00	$610.00	$1,411.74
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,108.61 / $1,108.61 / $1,108.61	Facility	52	$1,108.61	$1,108.61	$1,108.61
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $138.58 / $138.58 / $138.58	Facility	AS	$138.58	$138.58	$138.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,144.05 / $1,413.24 / $2,029.69	Professional		$1,144.05	$1,413.24	$2,029.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,277.07 / $1,598.01 / $2,399.02	Facility		$1,277.07	$1,598.01	$2,399.02
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $285.80 / $312.60 / $502.10	Facility	80	$285.80	$312.60	$502.10
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $200.06 / $218.82 / $351.47	Facility	AS	$200.06	$218.82	$351.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,214.93 / $1,496.06 / $2,733.55	Facility		$1,214.93	$1,496.06	$2,733.55
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