Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.62 / $5,282.00 / $11,024.00	Facility		$870.62	$5,282.00	$11,024.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $435.31 / $435.31 / $1,042.92	Facility	52	$435.31	$435.31	$1,042.92
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 / $925.00	Facility		$490.00	$610.00	$925.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $688.97 / $688.97 / $688.97	Facility	52	$688.97	$688.97	$688.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.12 / $86.12 / $86.12	Facility	AS	$86.12	$86.12	$86.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $713.82 / $881.78 / $1,259.93	Professional		$713.82	$881.78	$1,259.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $784.41 / $1,009.12 / $1,471.35	Facility		$784.41	$1,009.12	$1,471.35
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $184.60 / $208.00 / $306.44	Facility	80	$184.60	$208.00	$306.44
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $129.22 / $145.60 / $214.51	Facility	AS	$129.22	$145.60	$214.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $758.83 / $952.02 / $1,797.31	Facility		$758.83	$952.02	$1,797.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $8,246.00 / $17,187.00	Facility		$1,236.00	$8,246.00	$17,187.00