Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.67 / $1,938.00 / $5,743.00	Facility		$450.67	$1,938.00	$5,743.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $222.21 / $225.34 / $530.66	Facility	52	$222.21	$225.34	$530.66
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $333.31 / $338.00 / $795.98	Facility	54	$333.31	$338.00	$795.98
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 $420.00 / $420.00 / $483.95	Facility		$420.00	$420.00	$483.95
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $384.75 / $384.75 / $384.75	Facility	52	$384.75	$384.75	$384.75
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $336.66 / $336.66 / $336.66	Facility	54	$336.66	$336.66	$336.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.00 / $525.67 / $621.26	Professional		$409.00	$525.67	$621.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $407.68 / $519.96 / $786.92	Facility		$407.68	$519.96	$786.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $409.00 / $526.65 / $982.00	Facility		$409.00	$526.65	$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