Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.22 / $3,469.00 / $7,275.00	Facility		$654.22	$3,469.00	$7,275.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $308.77 / $327.11 / $773.76	Facility	52	$308.77	$327.11	$773.76
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $463.16 / $490.67 / $1,160.63	Facility	54	$463.16	$490.67	$1,160.63
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 / $664.73	Facility		$572.00	$572.00	$664.73
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $530.59 / $530.59 / $530.59	Facility	52	$530.59	$530.59	$530.59
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $464.27 / $464.27 / $464.27	Facility	54	$464.27	$464.27	$464.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $561.67 / $719.20 / $849.97	Professional		$561.67	$719.20	$849.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $575.36 / $754.26 / $1,126.36	Facility		$575.36	$754.26	$1,126.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $566.01 / $738.10 / $1,683.00	Facility		$566.01	$738.10	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00