Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,248.96 / $5,412.00 / $14,112.00	Facility		$1,248.96	$5,412.00	$14,112.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $603.80 / $603.80 / $1,448.04	Facility	52	$603.80	$603.80	$1,448.04
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 / $1,219.08	Facility		$490.00	$610.00	$1,219.08
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $959.49 / $959.49 / $959.49	Facility	52	$959.49	$959.49	$959.49
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $119.94 / $119.94 / $119.94	Facility	AS	$119.94	$119.94	$119.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $994.13 / $1,228.05 / $1,754.36	Professional		$994.13	$1,228.05	$1,754.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,061.61 / $1,357.20 / $2,037.55	Facility		$1,061.61	$1,357.20	$2,037.55
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $212.80 / $261.91 / $424.50	Facility	80	$212.80	$261.91	$424.50
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $148.96 / $183.34 / $297.14	Facility	AS	$148.96	$183.34	$297.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $988.03 / $1,297.22 / $2,364.88	Facility		$988.03	$1,297.22	$2,364.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,746.00 / $7,364.00 / $20,519.00	Facility		$1,746.00	$7,364.00	$20,519.00