Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.82 / $3,309.00 / $7,275.00	Facility		$470.82	$3,309.00	$7,275.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $332.96 / $359.04 / $782.28	Facility	54	$332.96	$359.04	$782.28
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 $572.00 / $572.00 / $691.75	Facility		$572.00	$572.00	$691.75
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $484.22 / $484.22 / $484.22	Facility	54	$484.22	$484.22	$484.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.41 / $557.44 / $658.79	Professional		$431.41	$557.44	$658.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $395.45 / $524.37 / $789.79	Facility		$395.45	$524.37	$789.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $395.13 / $513.12 / $1,291.00	Facility		$395.13	$513.12	$1,291.00
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00