Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.41 / $2,012.00 / $6,827.70	Facility		$202.41	$2,012.00	$6,827.70
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $135.62 / $151.81 / $448.79	Facility	54	$135.62	$151.81	$448.79
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 $208.02 / $208.02 / $420.00	Facility		$208.02	$208.02	$420.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $140.13 / $140.13 / $140.13	Facility	54	$140.13	$140.13	$140.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.86 / $214.86 / $248.43	Professional		$167.86	$214.86	$248.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $257.61 / $655.00	Facility		$186.21	$257.61	$655.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $186.27 / $271.07 / $805.00	Facility		$186.27	$271.07	$805.00
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