Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.95 / $1,719.00 / $5,743.00	Facility		$436.95	$1,719.00	$5,743.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $336.30 / $371.18 / $788.93	Facility	54	$336.30	$371.18	$788.93
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 / $699.73	Facility		$420.00	$420.00	$699.73
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $489.81 / $489.81 / $489.81	Facility	54	$489.81	$489.81	$489.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.62 / $576.30 / $681.10	Professional		$445.62	$576.30	$681.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $400.74 / $539.90 / $818.01	Facility		$400.74	$539.90	$818.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $394.55 / $503.42 / $982.00	Facility		$394.55	$503.42	$982.00
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