Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.46 / $1,990.00 / $6,827.70	Facility		$518.46	$1,990.00	$6,827.70
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $388.85 / $431.65 / $915.47	Facility	54	$388.85	$431.65	$915.47
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 / $801.14	Facility		$572.00	$572.00	$801.14
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $560.79 / $560.79 / $560.79	Facility	54	$560.79	$560.79	$560.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.28 / $660.53 / $780.62	Professional		$512.28	$660.53	$780.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $500.77 / $643.00 / $948.52	Facility		$500.77	$643.00	$948.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $458.62 / $592.32 / $1,107.99	Facility		$458.62	$592.32	$1,107.99
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