Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,607.44 / $8,920.00 / $20,571.00	Facility		$2,607.44	$8,920.00	$20,571.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,430.31 / $20,163.00 / $20,163.00	Facility	50	$2,430.31	$20,163.00	$20,163.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,043.79 / $1,043.79 / $1,700.00	Facility		$1,043.79	$1,043.79	$1,700.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $103.83 / $103.83 / $103.83	Facility	AS	$103.83	$103.83	$103.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $872.54 / $1,129.17 / $1,334.48	Professional		$872.54	$1,129.17	$1,334.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $952.73 / $1,283.19 / $2,007.36	Facility		$952.73	$1,283.19	$2,007.36
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,747.08 / $2,562.00 / $4,085.32	Facility	50	$1,747.08	$2,562.00	$4,085.32
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $232.94 / $341.60 / $544.71	Facility	80	$232.94	$341.60	$544.71
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $163.06 / $239.12 / $381.30	Facility	AS	$163.06	$239.12	$381.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $906.65 / $1,217.96 / $4,225.52	Facility		$906.65	$1,217.96	$4,225.52
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00