Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,642.70 / $5,412.00 / $15,165.00	Facility		$2,642.70	$5,412.00	$15,165.00
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 / $2,654.64	Facility		$490.00	$610.00	$2,654.64
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,628.99 / $1,628.99 / $1,628.99	Facility	62	$1,628.99	$1,628.99	$1,628.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $260.64 / $260.64 / $260.64	Facility	AS	$260.64	$260.64	$260.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,149.60 / $2,655.39 / $3,811.40	Professional		$2,149.60	$2,655.39	$3,811.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,246.30 / $2,994.45 / $4,342.22	Facility		$2,246.30	$2,994.45	$4,342.22
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $472.20 / $602.79 / $928.35	Facility	80	$472.20	$602.79	$928.35
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $330.54 / $414.88 / $649.85	Facility	AS	$330.54	$414.88	$649.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,203.07 / $2,803.36 / $4,997.12	Facility		$2,203.07	$2,803.36	$4,997.12
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