Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $849.14 / $3,484.00 / $8,294.00	Facility		$849.14	$3,484.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $384.37 / $398.18 / $936.68	Facility	54	$384.37	$398.18	$936.68
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 $550.91 / $550.91 / $572.00	Facility		$550.91	$550.91	$572.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $384.68 / $384.68 / $384.68	Facility	54	$384.68	$384.68	$384.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $466.15 / $600.05 / $709.16	Professional		$466.15	$600.05	$709.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $447.18 / $605.10 / $895.82	Facility		$447.18	$605.10	$895.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $416.21 / $590.72 / $1,683.00	Facility		$416.21	$590.72	$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