Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.08 / $1,938.00 / $6,827.70	Facility		$452.08	$1,938.00	$6,827.70
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $328.32 / $339.06 / $796.98	Facility	54	$328.32	$339.06	$796.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $472.05	Facility		$420.00	$420.00	$472.05
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $328.83 / $328.83 / $328.83	Facility	54	$328.83	$328.83	$328.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $399.50 / $514.53 / $608.08	Professional		$399.50	$514.53	$608.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $382.66 / $512.26 / $762.94	Facility		$382.66	$512.26	$762.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $369.16 / $500.65 / $1,683.00	Facility		$369.16	$500.65	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00