Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,569.34 / $8,517.00 / $12,877.20	Facility		$3,569.34	$8,517.00	$12,877.20
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $11,899.44 / $11,899.44 / $26,096.81	Facility	22	$11,899.44	$11,899.44	$26,096.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $605.00 / $610.00 / $988.00	Facility		$605.00	$610.00	$988.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.78 / $67.78 / $67.78	Facility	AS	$67.78	$67.78	$67.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.83 / $695.26 / $990.45	Professional		$562.83	$695.26	$990.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $619.84 / $777.14 / $1,167.49	Facility		$619.84	$777.14	$1,167.49
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $139.40 / $151.80 / $238.70	Facility	80	$139.40	$151.80	$238.70
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $97.58 / $106.26 / $167.09	Facility	AS	$97.58	$106.26	$167.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $582.38 / $728.31 / $1,412.06	Facility		$582.38	$728.31	$1,412.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $12,407.00 / $26,244.00	Facility		$2,020.00	$12,407.00	$26,244.00