Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.48 / $5,509.53 / $14,220.40	Facility		$1,452.48	$5,509.53	$14,220.40
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 $1,470.67 / $1,470.67 / $1,700.00	Facility		$1,470.67	$1,470.67	$1,700.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $913.41 / $913.41 / $913.41	Facility	62	$913.41	$913.41	$913.41
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $146.15 / $146.15 / $146.15	Facility	AS	$146.15	$146.15	$146.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,220.48 / $1,579.45 / $1,866.62	Professional		$1,220.48	$1,579.45	$1,866.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,321.49 / $1,699.40 / $2,628.01	Facility		$1,321.49	$1,699.40	$2,628.01
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $306.25 / $453.40 / $751.56	Facility	80	$306.25	$453.40	$751.56
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $214.38 / $317.38 / $526.09	Facility	AS	$214.38	$317.38	$526.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,225.60 / $1,599.98 / $5,467.87	Facility		$1,225.60	$1,599.98	$5,467.87
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