Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $4,602.30 / $8,920.00	Facility		$945.00	$4,602.30	$8,920.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,976.00 / $1,976.00 / $7,964.80	Facility	22	$1,976.00	$1,976.00	$7,964.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $784.14	Facility		$640.00	$640.00	$784.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $662.69 / $848.24 / $1,000.23	Professional		$662.69	$848.24	$1,000.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $716.71 / $918.49 / $1,436.60	Facility		$716.71	$918.49	$1,436.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $674.42 / $882.05 / $3,016.05	Facility		$674.42	$882.05	$3,016.05
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00