Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $7,541.00 / $19,029.00	Facility		$1,749.00	$7,541.00	$19,029.00
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $7,256.90 / $7,256.90 / $7,256.90	Facility	80	$7,256.90	$7,256.90	$7,256.90
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 $1,260.01 / $1,260.01 / $1,700.00	Facility		$1,260.01	$1,260.01	$1,700.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $783.15 / $783.15 / $783.15	Facility	62	$783.15	$783.15	$783.15
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $125.30 / $125.30 / $125.30	Facility	AS	$125.30	$125.30	$125.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,050.29 / $1,357.69 / $1,604.54	Professional		$1,050.29	$1,357.69	$1,604.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,133.72 / $1,464.92 / $2,278.03	Facility		$1,133.72	$1,464.92	$2,278.03
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $266.32 / $400.57 / $647.54	Facility	80	$266.32	$400.57	$647.54
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $186.43 / $280.39 / $453.28	Facility	AS	$186.43	$280.39	$453.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,059.55 / $1,407.27 / $4,795.20	Facility		$1,059.55	$1,407.27	$4,795.20
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