Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,741.06 / $5,636.00 / $15,165.00	Facility		$1,741.06	$5,636.00	$15,165.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $870.53 / $870.53 / $2,089.50	Facility	52	$870.53	$870.53	$2,089.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,531.00 / $17,046.58 / $23,861.81	Facility		$10,531.00	$17,046.58	$23,861.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,742.51	Facility		$490.00	$610.00	$1,742.51
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,366.02 / $1,366.02 / $1,366.02	Facility	52	$1,366.02	$1,366.02	$1,366.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $170.75 / $170.75 / $170.75	Facility	AS	$170.75	$170.75	$170.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,405.79 / $1,736.56 / $2,514.79	Professional		$1,405.79	$1,736.56	$2,514.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,527.84 / $1,991.72 / $2,872.75	Facility		$1,527.84	$1,991.72	$2,872.75
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $380.37 / $416.20 / $614.66	Facility	80	$380.37	$416.20	$614.66
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $260.45 / $291.33 / $430.27	Facility	AS	$260.45	$291.33	$430.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,522.58 / $1,906.39 / $3,573.53	Facility		$1,522.58	$1,906.39	$3,573.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,466.00 / $21,401.00	Facility		$1,745.00	$10,466.00	$21,401.00