Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,265.80 / $10,964.78	Facility		$1,548.82	$4,265.80	$10,964.78
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Facility	22	$12,302.69	$12,302.69	$12,302.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $15,488.17	Facility		$9,772.37	$13,182.57	$15,488.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $1,905.46	Professional		$1,258.93	$1,584.89	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $3,162.28	Professional		$1,778.28	$2,238.72	$3,162.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $2,754.23	Facility		$1,288.25	$1,819.70	$2,754.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $6,918.31	Facility		$1,258.93	$1,737.80	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,244.36 / $14,125.38	Facility		$3,801.89	$7,244.36	$14,125.38