Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,226.00 / $8,950.54 / $19,938.41	Facility		$3,226.00	$8,950.54	$19,938.41
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $8,825.00 / $8,825.00 / $8,825.00	Facility	22	$8,825.00	$8,825.00	$8,825.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $404.50 / $404.50 / $969.19	Facility	52	$404.50	$404.50	$969.19
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 $610.00 / $1,727.00 / $3,218.20	Facility		$610.00	$1,727.00	$3,218.20
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $645.72 / $645.72 / $645.72	Facility	52	$645.72	$645.72	$645.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.72 / $80.72 / $80.72	Facility	AS	$80.72	$80.72	$80.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.31 / $815.35 / $1,184.50	Professional		$670.31	$815.35	$1,184.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $746.82 / $964.18 / $1,432.56	Facility		$746.82	$964.18	$1,432.56
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $184.05 / $232.75 / $325.47	Facility	80	$184.05	$232.75	$325.47
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $127.11 / $157.32 / $227.83	Facility	AS	$127.11	$157.32	$227.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $732.64 / $908.18 / $1,685.05	Facility		$732.64	$908.18	$1,685.05
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