Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.59 / $1,226.00 / $5,412.00	Facility		$380.59	$1,226.00	$5,412.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $281.68 / $309.82 / $663.32	Facility	54	$281.68	$309.82	$663.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $596.58	Facility		$420.00	$420.00	$596.58
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $417.61 / $417.61 / $417.61	Facility	54	$417.61	$417.61	$417.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.72 / $482.96 / $570.77	Professional		$374.72	$482.96	$570.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $339.17 / $450.27 / $687.29	Facility		$339.17	$450.27	$687.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $332.11 / $439.99 / $852.72	Facility		$332.11	$439.99	$852.72
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00