Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.62 / $3,633.00 / $8,294.00	Facility		$851.62	$3,633.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $590.53 / $638.72 / $1,516.64	Facility	54	$590.53	$638.72	$1,516.64
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 / $852.66	Facility		$572.00	$572.00	$852.66
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $592.41 / $592.41 / $592.41	Facility	54	$592.41	$592.41	$592.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $714.89 / $915.06 / $1,076.95	Professional		$714.89	$915.06	$1,076.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $714.89 / $991.59 / $1,440.32	Facility		$714.89	$991.59	$1,440.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $719.85 / $961.95 / $1,804.79	Facility		$719.85	$961.95	$1,804.79
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00