Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.98 / $5,412.00 / $14,187.00	Facility		$399.98	$5,412.00	$14,187.00
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 $401.09 / $526.00 / $925.00	Facility		$401.09	$526.00	$925.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $243.96 / $243.96 / $243.96	Facility	62	$243.96	$243.96	$243.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $39.03 / $39.03 / $39.03	Facility	AS	$39.03	$39.03	$39.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $408.50 / $577.78	Professional		$326.80	$408.50	$577.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $368.90 / $472.71 / $693.89	Facility		$368.90	$472.71	$693.89
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $88.40 / $96.20 / $145.31	Facility	80	$88.40	$96.20	$145.31
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $61.88 / $67.34 / $101.71	Facility	AS	$61.88	$67.34	$101.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $356.29 / $451.61 / $816.36	Facility		$356.29	$451.61	$816.36
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