Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,949.84 / $7,079.46	Facility		$186.21	$1,949.84	$7,079.46
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	54	$776.25	$776.25	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $245.47	Professional		$165.96	$208.93	$245.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $776.25	Professional		$416.87	$707.95	$776.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $257.04 / $537.03	Facility		$177.83	$257.04	$537.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $288.40 / $1,288.25	Facility		$181.97	$288.40	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,148.15 / $2,398.83	Facility		$218.78	$1,148.15	$2,398.83